Senior Healthcare Revenue Cycle Specialist

Senior Revenue Cycle Specialist

This is NOT A REMOTE ROLE, it will be in person.

ALG Senior is seeking a Senior Revenue Cycle Specialist to join our Central Billing Office, based in Hickory, NC , supporting multiple senior living communities across a multi-state portfolio.

This role is responsible for managing the full accounts receivable cycle across Independent Living, Assisted Living, Memory Care, and Skilled Nursing -ensuring accurate billing, timely reimbursement, and strong collections practices across Medicare, Medicaid, Managed Care, and Private Pay.

This position plays a key role in protecting revenue integrity, reducing Days in AR, and maintaining financial compliance .
Key Responsibilities

Accounts Receivable Management

• Manage a portfolio of resident accounts across multiple communities
• Monitor aging reports and proactively reduce Days in AR
• Identify trends in denials, underpayments, and discrepancies
• Complete month-end close and AR reporting accurately and on time
• Generate resident statements and respond to account inquiries
• Post payments within established timelines

Charge Capture & Billing Accuracy

• Create and validate charges across all payer types
• Ensure timely and accurate charge entry
• Partner with community and clinical teams on census and care level changes
• Audit charges prior to billing and month-end close

Medicare, Medicaid & Managed Care Oversight

• Ensure clean claim submission and accurate account setup
• Track claim status and manage follow-ups/resubmissions
• Interpret payer contracts, authorizations, and fee schedules
• Stay current on CMS and state Medicaid updates

Payment Posting & Reconciliation

• Post EFTs, checks, and resident payments
• Reconcile ERA/EOBs and identify variances
• Resolve denials, short-pays, and discrepancies
• Reconcile resident trust accounts and statements

Collections & Follow-Up

• Conduct consistent follow-up on outstanding balances
• Communicate professionally with residents and families
• Coordinate with Social Security and other agencies as needed
• Document all collection activity thoroughly

Reporting & Financial Support

• Perform account reconciliations
• Prepare monthly AR summaries and explain variances
• Support audits (Medicaid, CMS, financial)
• Partner with accounting on discrepancies

Qualifications

Required

• 3-5+ years of healthcare AR experience (senior living, LTC, or post-acute preferred)
• Experience with Medicare & Medicaid billing
• Knowledge of Managed Care processes
• Experience with billing systems (Yardi, PointClickCare, MatrixCare, etc.)
• Understanding of UB-04 and CMS-1500 forms
• Strong Excel and systems skills
• Ability to manage high-volume accounts independently

Preferred

• Multi-state billing experience
• SNF billing (PPS/MDS knowledge)
• Centralized billing office experience
• Medicaid waiver/level-of-care billing knowledge
• CRCP, CPB, or similar certification

What You Bring

• Strong attention to detail and accuracy
• Analytical, problem-solving mindset
• Ability to prioritize in a fast-paced environment
• Ownership of your AR portfolio
• Professional communication skills
• High integrity and confidentiality