Accounts Payable and Receivable Specialist

Behavioral Health Solutions, Inc.; Henderson (NV); On-site; USD 30,000 - 47,000; Part time

Job summary

Behavioral Health Solutions, Inc. is seeking an experienced Accounts Payable and Receivable Specialist to support healthcare billing operations at our Henderson, NV headquarters. This on-site role handles invoice processing, vendor records, payments, and cash applications while ensuring compliance with internal controls.

Collaboration with RCM, facility partners, and BOMs is essential. The ideal candidate has 3–5+ years in AR/AP, knowledge of SNF billing, and proficiency in Excel and Sage

Qualifications

• 3–5+ years of AR/AP, billing, or collections experience.
• Proficiency with contracts, rate sheets and service agreements.
• Experience with Medicaid billing, LTC reimbursement, or PDPM preferred.
• Ability to interpret contracts and billing policies.

Responsibilities

• Prepare and issue invoices to SNF clients per contract terms.
• Review facility census, service logs, and rate schedules for billing accuracy.
• Monitor aging reports and follow up on outstanding balances.
• Investigate billing discrepancies and disputes.
• Reconcile accounts and apply payments accurately.
• Communicate with facility administrators and AP departments.
• Maintain detailed documentation of collection activity and account communications.
• Support month-end close and AR reconciliation.
• Identify billing trends and suggest process improvements.
• Ensure compliance with internal billing policies.
• Perform ad hoc tasks as assigned.

Skills

AR/AP experience

B2B collections

Contracts/rate sheets

Analytical/reconciliation

Communication with leadership

SNF/long-term care exposure

ABOM/BOM/SNF Billing

Excel & Sage Intacct/SAP

Medicaid/PDPM knowledge

Multi-facility accounts

Education

Accounting degree (Assoc/Bach)

Tools

Sage Intacct

SAP

Microsoft Excel

Job description

Job Type:

1099 Temporary Contract, with potential for future permanent placement.

Location:

This is an On-Site role, located at our headquarters in Henderson, NV. Remote candidates will not be considered.

Position Summary:

We are seeking an experienced Accounts Payable and Receivable Specialist with a strong background supporting healthcare organizations.

This position reviews and processes invoices, maintains vendor records, prepares payments, issues facility invoices, applies cash receipts, follows up on outstanding balances, and maintains accurate supporting documentation.

The position works closely with internal departments, facility partners, vendors, the RCM team, and the Staff Accountant to ensure transactions are processed accurately, timely, and in accordance with established internal controls.

Who are We?:

Behavioral Health Solutions (BHS) is a team of mental health professionals specializing in comprehensive behavioral health services, including Skilled Nursing Facilities (SNF), Outpatient services, and Telehealth.

As a leading provider in the mental health field, we are seeking skilled professionals who exhibit the highest level of integrity and dedication to improving patient care.

Key Responsibilities:

• Prepare and issue invoices to Skilled Nursing Facility (SNF) clients in accordance with contract terms.
• Review facility census reports, service logs, and rate schedules to ensure billing accuracy.
• Monitor aging reports and aggressively follow up on outstanding balances.
• Investigate and resolve billing discrepancies, short payments, and disputes.
• Reconcile accounts and apply payments accurately.
• Communicate with facility administrators, BOMs, and AP departments regarding account status.
• Maintain detailed documentation of collection activity and account communications.
• Support month-end close, AR reconciliation, and reporting.
• Identify trends in delayed payments and recommend process improvements.
• Ensure compliance with contracts and internal billing policies.
• Performing additional tasks, duties, and assignments as specified by your supervisor.

Required Skills:

• 3–5+ years of Accounts Payable and Receivable, billing, or collections experience.
• Strong background in B2B collections and contract-based billing.
• Ability to interpret contracts, rate sheets, and service agreements.
• Strong analytical, reconciliation, and problem-solving skills.
• Excellent communication skills with ability to interact with facility leadership and corporate teams.
• Experience working with Skilled Nursing Facilities (SNFs) or long-term care preferred.
• Background as an Assistant Business Office Manager (ABOM), Business Office Manager (BOM), or SNF Billing Specialist preferred.
• Proficiency in Microsoft Excel and accounting/ERP systems (Sage Intacct preferred).
• Knowledge of Medicaid billing, long-term care reimbursement, or PDPM preferred.
• Experience working with multi-facility accounts preferred.

Qualifications:

• Associate or Bachelor’s Degree in Accounting preferred.
• 3 to 5+ years of experience in accounts receivable, service billing, or collections.
• Proficiency in Microsoft Office Suite (especially excel) and accounting software (e.g. SAP) Sage Intacct preferred.
• Excellent organizational skills and attention to detail.
• Ability to work independently and collaboratively in a team environment.
• Strong organizational and project management skills.