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Senior Healthcare Revenue Cycle Specialist

Senior Living Hiring

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
Vacancy posted 2 days ago
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