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Accounts Receivable Specialist

Neighborhood LTC Pharmacy
Lincoln, NE Full Time
POSTED ON 9/3/2026
AVAILABLE BEFORE 10/2/2026
Description

Accounts Receivable Specialist

Neighborhood LTC Pharmacy, Inc. (NRx)

Position Summary

We are hiring an Accounts Receivable Specialist to own day-to-day AR operations across our pharmacy and payment systems: posting payments, reconciling insurance, managing statements and aging, and following up on past-due accounts. The role also carries a reporting component: turning that transactional activity into aging, DSO, payor-mix, and collection/denial reporting. It's a strong fit for someone meticulous with reconciliations and comfortable in Excel, who takes pride in receivables that are clean, current, and audit-ready.

Position Details

Company: Neighborhood LTC Pharmacy, Inc. (NRx)

Department: Finance: Accounts Receivable

Reports to: Finance Manager

Works closely with: Accounts Payable/Bookkeeper, and pharmacy operations across all locations

Location: On-site

Status: Full-time / Hourly

Compensation: $50K - $60K

Key Responsibilities

Accounts Receivable — Daily Operations

  • Post incoming patient and payor payments and reconcile them to the pharmacy system; keep the pharmacy system and payment platforms in sync.
  • Respond to customer and facility inquiries regarding balances, statements, and payment status.
  • Perform daily insurance reconciliation and produce daily payment reconciliation reports.
  • Set up and maintain new-patient payment enrollments submitted.
  • Verify and process medical-expense and refund requests (patient and payor overpayments).

Accounts Receivable — Cycle & Period Close

  • Process, submit, and email monthly patient statements.
  • Prepare and analyze patient and third-party (insurance) aging reports.
  • Follow up on past-due accounts via collections calls and emails; document activity.
  • Perform post-verification review of posted payments for accuracy.
  • Code money-in transactions and close the AR sub-ledger each period.
  • Support month-end close by ensuring AR activity is complete, tied out, and reconciled to the GL.

Payor & Dispute Management

  • Resolve and escalate denied or underpaid claims with payors.
  • Track denial and collection performance and surface recurring issues.

Analysis & Reporting

  • Produce monthly AR metrics packages for finance leadership: aging, DSO, collection rate, denial rate, and payor mix.
  • Build ad hoc reporting on demand —payor-performance views and cash-forecasting inputs.
  • Support external audit: AR confirmations, aging tie-outs, and allowance-methodology review.
  • Assist with cash-flow forecasting and working-capital analysis across locations.
  • Support budget vs. actual and variance analysis for receivables and related revenue metrics.
  • Help evaluate and roll out AR process and system improvements, including new tooling and workflow changes.

Requirements

Qualifications

Required

  • Associate's or Bachelor's degree in Accounting, Finance, or a related field, or equivalent relevant experience.
  • 2 years in accounts receivable, billing, or a comparable accounting role.
  • Solid grasp of the AR lifecycle: cash application, aging, collections, reconciliations, and period close.
  • Proficiency in Excel (lookups, pivot tables, clean formula-driven worksheets).
  • High accuracy, strong reconciliation discipline, and comfort handling confidential patient/payment data.
  • Clear written and verbal communication for internal teams, customers, and payors.

Preferred

  • Experience in pharmacy, healthcare, or LTC/specialty billing environments.
  • Familiarity with insurance/third-party reconciliation and payor denial/dispute workflows.
  • Exposure to QuickBooks Online and multi-location/multi-entity accounting.
  • Analytical exposure: DSO analysis, payor-mix reporting, or cash forecasting.
  • Awareness of HIPAA/PHI handling requirements when transmitting patient and payment data.

Core Competencies

  • Detail-oriented and audit-minded — builds traceable, reconcilable work.
  • Organized under recurring daily/monthly deadlines.
  • Analytical mindset: turns transactional data into decision-useful reporting.
  • Collaborative across finance, operations, and multiple pharmacy locations.
  • Discreet and trustworthy with sensitive financial and patient information.

Compensation details: 50000-60000 Yearly Salary

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Salary : $50,000 - $60,000

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