Accounts Receivable Specialist

Job Title: Accounts Receivable Specialist
Reports To: Director of Revenue
Salary: $48,000 – $53,000

Position Summary:

The Accounts Receivable (AR) Specialist manages the complete accounts receivable cycle with a specialized focus on program-based and client-specific billing. Reporting directly to the Director of Revenue, the specialist ensures accurate and timely processing of Medicaid claims, preschool tuition, and client rent contribution billing.

Key Responsibilities & Duties

• Medicaid Billing, Claims, & Analytics:

• Review, prepare, and submit Medicaid claims accurately and timely via the eMedNY system.
• Monitor claim status, investigate denials or rejections, and prepare and submit appeals with supporting documentation as required.
• Track, manage, and analyze NYS Medicaid recoupments, voids, claim adjustments and rate adjustments, providing variance explanations to the Director of Revenue.
• Ensure all billing practices comply with Medicaid rules, HIPAA guidelines, and relevant state/federal regulations.

• Client Benefit & Billing Management:

• Process and track client contributions, including managing Supplemental Nutrition Assistance Program (SNAP) benefits.
• Calculate individual client rent shortfalls by analyzing income sources, including understanding documentation related to Social Security benefits, SSI, and SSDI.
• Coordinate with Entitlement Coordinator to verify client income & excess benefits to ensure accurate and compliant rent shortfall billing.

• Preschool and Program Billing:

• Generate and upload accurate and timely vouchers for preschool tuition and other nonprofit programs in CPSE Portal.

• Cash Receipts & Reconciliations:

• Process and apply incoming payments to the appropriate customer accounts in NetSuite and retrieving Clinic deposits reports
• Perform account reconciliations regularly to ensure accurate accounts receivable balances.
• Research and resolve payment discrepancies and billing issues in a timely manner.

• Accounts Receivable Management & Reporting:

• Monitor the accounts receivable aging reports in general ledger and coordinate collection efforts professionally.
• Maintain accurate customer and billing records and assist with month-end and year-end closing procedures.
• Prepare various AR reports and statements for management review before distribution.

Qualifications & Skills

• Experience:
  • Minimum of 2 years of proven experience in accounts receivable and billing roles, preferably within a healthcare or nonprofit environment.
  • Hands-on experience with Medicaid claims submission and follow-up (eMedNY experience highly preferred).
  • Experience analyzing healthcare reimbursements, rate changes, and government benefits (Medicaid, SNAP, Social Security).
  • Strong proficiency in accounting software, NetSuite preferably, familiarity with EHR, CureMD a plus, Microsoft Excel (pivot tables, VLOOKUPs)
• Skills:
  • Solid understanding of accounting principles (GAAP).
  • Exceptional attention to detail and high degree of accuracy in data entry and financial record-keeping.
  • Strong analytical and problem-solving skills to investigate and resolve complex discrepancies and perform rate analysis.
  • Excellent verbal and written communication skills, with the ability to interact professionally with clients, payers, and internal staff.

Education

• Associate’s or Bachelor’s degree in Accounting, Finance, or a related field is a plus.

The Arc Rockland is an Equal Opportunity Employer.

The Arc Rockland strives to create and maintain a work environment in which people are treated with dignity, decency, and respect, providing everyone with an equal opportunity to thrive. We are committed to building a diverse and inclusive workplace that values the unique perspectives and contributions of all of our employees – a workplace where every employee can bring their whole self to work.