Accounts Receivable Manager

Accounts Receivable ManagerThe Accounts Receivable Manager is responsible for managing and supporting the accounts receivable functions for assigned skilled nursing facilities. This position coordinates billing, collections, payment posting, payer follow-up, account reconciliation, resident account activity, and business office support under the direction of the AR Director. The Accounts Receivable Manager works closely with facility leadership, admissions, business office staff, and corporate teams to ensure timely reimbursement, accurate documentation, consistent billing practices, and compliance with company policies and applicable federal and state requirements.Duties and ResponsibilitiesPartner with admissions staff to verify resident demographics, payer information, eligibility, authorization status, and required admission documentation for billing accuracy.Serve as a resource to admissions and business office staff regarding payer requirements, managed care contracts, payment arrangements, inclusions and exclusions, and documentation expectations.Ensure contract and payer information is maintained accurately, including rates, levels of care, covered services, exclusions, billing contacts, and authorization requirements.Manage assigned accounts receivable functions, including billing, claims submission, collections, payment posting, payer follow-up, account reconciliation, and month-end close support.Review accounts receivable aging reports, identify trends, resolve outstanding balances, and coordinate action plans to support timely reimbursement.Complete and coordinate billing and collection activity accurately and timely for Medicare, Medicaid/Medi-Cal, managed care, private pay, resident trust, and other payer sources.Monitor payer authorizations, eligibility, Treatment Authorization Requests (TARs), Medi-Cal applications, Medicare coverage, and supporting documentation as applicable.Review, reconcile, and support accurate processing of electronic deposits, resident payments, adjustments, refunds, resident trust transactions, petty cash reconciliations, and related financial records.Run and review census reports, verify resident status changes, and enter or validate updates in PointClickCare (PCC) or other billing systems to support accurate billing.Research billing discrepancies, denied claims, payment variances, unapplied cash, credit balances, and outstanding reimbursement issues, and coordinate resolution with appropriate departments.Serve as a resource to business office and admissions staff by sharing billing updates, documentation expectations, and company procedures as needed.Communicate professionally with residents, responsible parties, payers, vendors, facility leadership, and corporate departments regarding billing, collections, payer follow-up, and account resolution.Prepare reports, maintain accurate records, and provide updates to the AR Director regarding aging, collections progress, reimbursement barriers, and facility-level accounts receivable performance.Maintain confidentiality of resident, financial, employee, and company information in accordance with company policy, privacy standards, and applicable regulations.Support the company's mission, values, service standards, compliance expectations, and commitment to ethical business practices.Perform job responsibilities in accordance with the company's Code of Business Conduct, policies and procedures, Corporate Compliance Agreement, applicable federal and state laws, and professional standards.Perform other duties as assigned.RequirementsStrong understanding of skilled nursing facility accounts receivable operations, billing workflows, payer requirements, collections, and reimbursement practices.Working knowledge of Medicare, Medicaid/Medi-Cal, managed care, private pay, resident trust, authorization, eligibility, and collections processes.Experience using PointClickCare (PCC), billing systems, electronic payment platforms, Microsoft Office, and related reporting tools.Ability to analyze account balances, review aging reports, identify discrepancies, research payment issues, and coordinate timely resolution.Ability to coordinate with residents, responsible parties, payers, vendors, facility leadership, business office staff, admissions staff, and corporate teams in a professional and timely manner.Strong organizational skills, attention to detail, follow-through, confidentiality, and ability to manage competing deadlines in a fast-paced environment.EducationBachelor's degree in Accounting, Business Administration, Finance, or a related program preferred.QualificationsMinimum of five years of experience in accounts receivable, healthcare billing, business office operations, or equivalent experience required.Prior experience in an accounts receivable, billing, collections, or healthcare business office role with responsibility for complex account follow-up and reporting preferred.Demonstrated ability to manage assigned A/R workflows, set priorities, track follow-up activity, and complete tasks accurately within required timelines.Prior experience in a skilled nursing facility, long-term care, or healthcare setting strongly preferred.Experience supporting or managing billing, collections, payer follow-up, account reconciliation, resident trust activity, denial resolution, aging review, and reimbursement processes.Knowledge of Medicare, Medicaid/Medi-Cal, managed care, private pay, authorization, eligibility, resident trust, and collections requirements preferred.Ability to review A/R aging, identify reimbursement barriers, prepare status updates, communicate trends, and escalate high-risk balances or compliance concerns to leadership.Ability to serve as a knowledgeable resource to business office and admissions staff while maintaining professional communication, consistency, and strong follow-through.Ability to work independently, exercise sound judgment, maintain accurate records, manage competing deadlines, and support multiple departments or facilities as needed.LicenseNo professional license is required for this position.Physical RequirementsMust be able to perform the essential functions of the position safely and effectively, with or without reasonable accommodation.

This role primarily requires working in an office environment, using a computer and phone for extended periods, reviewing documents, communicating with internal and external contacts, and occasionally moving throughout the facility.Environmental ConditionsWork is generally performed in an office or facility setting. The position may require periodic interaction in resident care areas and may involve potential exposure to infectious disease, air contaminants, hazardous chemicals, or other facility-related environmental conditions while performing job duties.AcknowledgementI have read this job description and understand the requirements set forth therein. I agree to perform the identified essential functions in a safe manner and in accordance with the facility's established procedures.

I understand that, as a result of my employment, I may be exposed to blood, body fluids, infectious disease, air contaminants, including tobacco smoke, and hazardous chemicals, and that the facility will provide instructions on how to prevent and control such exposures. I further understand that I may also be exposed to the Hepatitis B Virus and that the facility will make the hepatitis B vaccination available to me free of charge.I understand that my employment is at-will, and thereby understand that my employment may be terminated at-will either by the facility or myself, and that such termination can be made with or without notice.