Corporate Accounts Receivable Collections Specialist

About the role

The Corporate Accounts Receivable Collections Specialist supports the billing and collection efforts of our Skilled Nursing communities, with a focus on Managed Care and Commercial Insurance payers. This position works closely with facility Business Office Managers and Revenue Cycle leadership to research unpaid, underpaid, and denied claims, resolve billing issues, file appeals, and maximize reimbursement.

Responsibilities

• Manage billing and collections for assigned Skilled Nursing payers
• Prepare and submit claims to appropriate payers
• Follow up on unpaid, underpaid, and denied claims through resolution
• Research claims and patient accounts using payer portals and other available resources
• Maintain tracking systems for claim follow-up and resolution
• File appeals and corrected claims when necessary
• Partner with facility Business Office Managers to resolve census and billing discrepancies
• Monitor timely filing deadlines to prevent avoidable bad debt
• Review commercial payer contract terms and fee schedules
• Identify reimbursement issues and escalate concerns to Revenue Cycle and AR leadership as appropriate
• Prepare reports on collection activity, issues, and projections
• Recommend process improvements to increase efficiency and collections
• Maintain compliance with HIPAA, company policies, and applicable state and federal regulations

Requirements

• Associate's Degree required
• Minimum four (4) years of healthcare billing and collections experience with government and commercial payers
• Strong Skilled Nursing billing, collections, and revenue cycle experience
• Experience billing and following up on Managed Care and Commercial Insurance claims
• Knowledge of Medicare, state medical assistance programs, commercial payer reimbursement, contracts, and fee schedules
• Knowledge of state and federal regulations related to long-term care
• Strong experience navigating payer portals and resolving complex claims
• Knowledge of PointClickCare, DDE/FIS, Waystar, Availity, E-Solutions
• Strong analytical, problem-solving, organizational, and communication skills
• Proficiency with Microsoft Excel, Word, and PowerPoint
• Ability to manage multiple priorities and meet critical deadlines
• Ability to travel up to 10%

Qualifications

• Strong Skilled Nursing billing and collections experience
• Experience with Skilled Nursing revenue cycle operations
• Knowledge of managed care and commercial insurance claims
• Understanding of Medicare, Medicaid, and commercial payer reimbursement
• Experience with payer portals and claim resolution
• Compliance with HIPAA, company policies, and relevant regulations

Skills

• Microsoft Excel
• Microsoft Word
• Microsoft PowerPoint

Benefits

Mission Health Communities offers competitive compensation and a comprehensive benefits package, including:

• Medical, Dental, and Vision Insurance
• Short-Term and Long-Term Disability
• Flexible Spending Accounts (FSA)
• Life Insurance
• 401(k) Retirement Plan
• Paid Time Off (PTO)
• CEU Reimbursement
• Capella University & Sophia Learning Education Programs
• Career Growth Opportunities

Pay

Competitive compensation

Schedule

Not specified