Accounts Receivable Clerk

Phoenix Senior Living; Lexington (KY); On-site; USD 38,000 - 52,000; Full time

Job summary

Lexington Country Place is seeking an Accounts Receivable Clerk to join our team at our skilled nursing facility in Lexington, KY. The role focuses on timely billing, collection, and reconciliation of resident accounts, including Medicare, Medicaid, managed care, hospice, VA, and private-pay residents.

You will work with Admissions, Medical Records, Nursing, and Finance to maximize reimbursement, maintain accurate financial records, and ensure compliance with CMS, HIPAA, and state regulations.

Qualifications

• Experience handling resident billing and receivables.
• Ability to prepare and submit claims accurately to multiple payers.
• Familiarity with regulatory requirements (CMS/HIPAA).

Responsibilities

• Prepare and submit timely and accurate claims for Medicare, Medicaid, managed care, hospice, private pay and others.
• Monitor resident accounts for timely payment and appropriate reimbursement.
• Post payments, adjustments, denials, refunds, and corrections accurately.
• Review AR aging and follow up on outstanding balances.
• Research and resolve billing discrepancies and denials.
• Coordinate with insurers and eligibility workers to resolve payment issues.
• Maintain documentation supporting all billing activities and audits.
• Assist residents with billing questions and payment options.
• Support Medicaid applications by coordinating with residents and eligibility workers.
• Prepare monthly AR reports and assist with month-end close.

Skills

Accounts receivable

Billing

Claims processing

HIPAA compliance

CMS regulations

Interdisciplinary collaboration

Job description

Description

Lexington Country Place is seeking an Accounts Receivable Clerk to join our team!

Shift Details

Monday-Friday; 40 hours per week

The Accounts Receivable Clerk is responsible for the timely and accurate billing, collection, and reconciliation of resident accounts within a skilled nursing facility. This position manages accounts receivable for Medicare, Medicaid, managed care, hospice, VA, and private-pay residents while ensuring compliance with federal and state regulations, payer requirements, and facility policies. The Accounts Receivable Clerk works collaboratively with Admissions, Case Management, Medical Records, Therapy, Nursing, and Finance to maximize reimbursement and maintain accurate resident financial records.

• Prepare and submit timely and accurate claims for Medicare Part A, Medicaid, managed care organizations, hospice, private pay, and other third-party payers.
• Monitor resident accounts to ensure timely payment and appropriate reimbursement.
• Post payments, contractual adjustments, denials, refunds, and account corrections accurately.
• Review accounts receivable aging reports and aggressively follow up on outstanding balances.
• Research and resolve billing discrepancies, claim rejections, payment delays, and denials.
• Work with insurance companies, Medicaid agencies, managed care organizations, and responsible parties to resolve payment issues.
• Maintain complete documentation supporting all billing and collection activities.
• Coordinate with Admissions to ensure payer sources, authorizations, and resident demographic information are accurate.
• Assist residents and family members with billing questions, account balances, payment options, and financial responsibilities.
• Support Medicaid application and pending processes by coordinating with residents, families, and eligibility workers.
• Verify insurance coverage, benefits, authorizations, and eligibility as required.
• Prepare monthly accounts receivable reports and assist with month-end close activities.
• Maintain compliance with CMS regulations, HIPAA, Medicare and Medicaid billing guidelines, and facility policies.
• Participate in audits by providing requested documentation and resolving audit findings.
• Communicate effectively with interdisciplinary team members to resolve reimbursement issues.
• Perform additional duties as assigned by the Business Office Manager or Administrator.