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

Apply

Vacancy posted 3 days ago

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