Accounts Receivable Manager

Job Description

Job Description

Join Our Team & Make a Real Impact!

Do you value meaningful work that truly makes a difference? Are you ready to bring your passion and expertise to a team that cares just as much about each other as we do about our members? If you’re looking for more than just a job - a place to grow, contribute, and be valued - you’ve found it!

At Dental Health Services, collaboration isn’t just a buzzword - it’s how we thrive. As an Employee-Owned company , every team member plays a vital role in shaping our success and delivering outstanding specialized healthcare.

Come be a part of something bigger. Your unique skills, ideas, and dedication will help drive innovative, people-first dental health solutions . Let’s build a healthier future - together.

Job Summary

The Accounts Receivable Manager owns the Company's premium billing and accounts receivable function across all reporting entities. The position is accountable for the accuracy of premium billed from eligibility of record through cash application, the integrity of the accounts receivable subledger and its agreement to the general ledger, the adequacy of the allowance for doubtful accounts, and for the design and operation of controls over cash receipts, adjustments, and write-offs. Supervises accounts receivable staff and works across Enrollment, Sales, Compliance, Information Technology, and Accounting to resolve billing and eligibility discrepancies at their source. Maintains HIPAA and departmental confidentiality of member and Company information and matters.

We are looking for a leader to rebuild our accounts receivable function and bring it in line with industry practice. The Company recently moved premium billing to the SKYGEN platform, and we need someone who will question how the work is done today rather than inherit it. The role begins with a full assessment of the function, performed directly with the Chief Financial Officer (CFO), and moves into designing and building a function that delivers accurate billing, reconciled payments, correctly applied cash, timely collection, reliable reporting, and a sound control environment.

Essential Functions

• Owns the monthly premium billing cycle end to end, invoice generation and distribution, and cash application. Ensures premium billed agrees to eligibility of record and to filed and contracted rates.
• Reconciles the accounts receivable subledger to the general ledger monthly for each reporting entity, delivered with supporting documentation within the close calendar.
• Produces the monthly accounts receivable aging with written commentary on balances exceeding established thresholds and the collection action taken on each.
• Establishes and maintains collection procedures, escalation thresholds, and delinquency cycles consistent with group contract grace period and termination provisions.
• Recommends the quarterly allowance for doubtful accounts, supported by documented methodology and aging-based analysis, for CFO approval.
• Reviews and approves premium adjustments, retroactive terminations, reinstatements, refunds, and payment reversals within delegated authority, and escalates items above that authority to the CFO.
• Maintains segregation of duties across cash receipt posting, account adjustment, and write-off approval, and documents compensating controls where full segregation is not achievable.
• Prepares accounts receivable schedules, roll-forwards, and confirmations for the annual financial statement audit and for statutory and regulatory reporting.
• Owns accounts receivable configuration within the Company's operating system, partners with
• Owns premium revenue integrity within the plan administration platform, including validation of billing configuration, rate and benefit loading, and eligibility-driven invoice output against filed and contracted terms. Identifies and resolves defects at their source and documents the correction.
• Information Technology on data flows between the plan administration platform and the general ledger, maintains current procedures, and drives process improvement.
• Supervises accounts receivable staff, including assignment and review of work, performance standards, performance review, coaching, and development.
• Reports accounts receivable performance to the CFO, including days sales outstanding, aging distribution, collection results, unapplied cash, and open reconciling items.
• Maintains compliance with HIPAA and other Company proprietary information requirements.
• Performs other related duties as required for this position.

Knowledge Of

• Accounts receivable and premium billing in a dental plan or health plan member/group environment, including eligibility-driven billing, retroactive adjustments, and capitation arrangements.
• Generally accepted accounting principles as applied to premium revenue, receivables, and allowance estimation.
• Internal control over cash receipts and receivables, including segregation of duties and compensating controls in a small-team environment.
• Subledger to general ledger reconciliation within a multi-entity reporting structure.
• Collection practice for group and direct member premium, including delinquency cycles, contractual grace period and termination provisions, reinstatement, and write-off and referral decisions.
• Supervisory practice, HIPAA privacy and security requirements, advanced spreadsheet skills, enterprise accounting systems, and plan administration systems.

Education and Special Requirements

• Bachelor's degree in accounting, finance, or business administration, or equivalent directly related progressive experience.
• Five or more years of accounts receivable, premium billing, or revenue cycle experience, including two or more years directly supervising staff.
• Dental plan, health plan, or insurance experience strongly preferred. Familiarity with Washington, Oregon, and California group dental markets is a plus.
• Position is hybrid and requires residence in Washington, availability during Pacific Time business hours, and a secure work environment meeting Company information security requirements. Periodic travel required.

Skills Demonstrated By

• Delivering a complete and fully supported accounts receivable close within the monthly close calendar.
• Maintaining an accounts receivable subledger that agrees to the general ledger with no unexplained differences.
• Producing analysis and schedules the CFO, external auditors, and regulators can rely on without rework.
• Building and retaining capable staff, holding staff accountable to defined standards, and working effectively across the enterprise to resolve issues at their source.

Problems Solved and Decision Making

• Resolves complex premium billing, eligibility, and cash application discrepancies requiring coordination across departments and systems.
• Determines collection strategy, escalation, and delinquency action within Company policy and group contract terms.
• Approves adjustments, reversals, refunds, and write-offs within delegated authority, and recommends the allowance for doubtful accounts.
• Determines staffing assignments, work priorities, and process and control design within the function.
• Escalates matters affecting revenue recognition, regulatory reporting, allowance adequacy, or control failure to the CFO.

Position Details

• Primary Location: Seattle, WA
• Job Schedule: Full time hybrid
• Scheduled Weekly Hours: 40
• Shift: Monday - Friday between the hours of 8:00 am to 5:00 pm, Overtime as needed
• Travel: No

We look forward to having you on our team!