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
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
- 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
- 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
- Post EFTs, checks, and resident payments
- Reconcile ERA/EOBs and identify variances
- Resolve denials, short-pays, and discrepancies
- Reconcile resident trust accounts and statements
- 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
- Perform account reconciliations
- Prepare monthly AR summaries and explain variances
- Support audits (Medicaid, CMS, financial)
- Partner with accounting on discrepancies
- 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
- 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
- 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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