What are the responsibilities and job description for the Accounts Receivable Specialist position at SMP Health - St. Catherine South?
Job Overview
We are seeking a dynamic and detail-oriented Accounts Receivable Specialist to join our finance team! The Accounts Receivable (AR) Specialist is responsible for managing resident billing, collections, and accounts receivable functions in a long-term care setting. This role ensures accurate and timely billing for Medicare, Medicaid, private pay, and other payer sources while maintaining compliance with applicable regulations. The AR Specialist serves as a key liaison between the facility, residents, families, and external agencies to support financial operations, reimbursement, and customer service.
Responsibilities
- Manage billing for all payer sources (Medicare, Medicaid, private pay, and insurance) with accuracy and timeliness.
- Submit electronic claims and maintain complete, compliant billing documentation.
- Post charges, payments, and adjustments while ensuring accurate resident account records.
- Monitor accounts receivable, follow up on outstanding balances, and resolve discrepancies.
- Communicate with residents and families regarding billing questions, payments, and account status.
- Maintain knowledge of Medicare, Medicaid, and payer regulations to ensure compliant billing practices.
- Track resident eligibility, coverage changes, and coordinate payer information with internal teams.
- Maintain daily census data and ensure accurate setup and updates of resident financial accounts.
- Prepare monthly statements, reports, and documentation for audits and financial reviews.
- Collaborate with interdisciplinary teams and external payers while upholding confidentiality, professionalism, and HIPAA compliance.
Experience & Qualifications
- Bachelor’s degree in Business, Accounting, Healthcare Administration, or related field preferred; High school diploma or equivalent required.
- Prior experience in accounts receivable, medical billing, or healthcare financial operations preferred.
- Familiarity with Medicare, Medicaid, and third-party insurance billing processes preferred.
- Strong attention to detail and accuracy in data entry and financial transactions.
- Ability to manage multiple priorities, meet deadlines, and work in a fast-paced environment.
- Excellent communication and customer service skills, with the ability to explain financial information clearly.
- Proficiency in Microsoft Office and billing or healthcare software systems.
- Ability to maintain confidentiality and handle sensitive information in compliance with HIPAA.
- Strong organizational and problem-solving skills.
- Ability to perform essential job functions and adapt to additional duties as needed.
Work Location: In person