Accounts Receivable Specialist

Neighborhood LTC Pharmacy Inc; Lincoln (NE); On-site; USD 50,000 - 60,000; Full time

Job summary

Neighborhood LTC Pharmacy, Inc. (NRx) in Lincoln, NE is seeking an Accounts Receivable Specialist to own day-to-day AR operations across our pharmacy and payment systems, including posting payments, reconciling insurance, aging, and past-due follow-up.

The role emphasizes accuracy, reconciliation discipline, and audit readiness. You will generate monthly reports (aging, DSO, payor mix), support month-end close, manage payor disputes, and contribute to cash-forecasting and system improvements.

Qualifications

• Associate's or Bachelor's degree in Accounting, Finance, or related field.
• 2+ years in accounts receivable, billing, or a comparable accounting role.
• Solid grasp of the AR lifecycle: cash application, aging, collections, reconciliations, and period close.
• Proficiency in Excel (lookups, pivot tables, clean formula-driven worksheets).
• High accuracy, strong reconciliation discipline, and comfort handling confidential patient/payment data.
• Clear written and verbal communication for internal teams, customers, and payors.

Responsibilities

• Post incoming patient and payor payments and reconcile them to the pharmacy system.
• Respond to customer and facility inquiries regarding balances, statements, and payment status.
• Perform daily insurance reconciliation and produce daily payment reconciliation reports.
• Set up and maintain new-patient payment enrollments submitted.
• Verify and process medical-expense and refund requests (patient and payor overpayments).
• Process, submit, and email monthly patient statements.
• Prepare and analyze patient and third-party aging reports.
• Follow up on past-due accounts via collections calls and emails; document activity.
• Perform post-verification review of posted payments for accuracy.
• Code money-in transactions and close the AR sub-ledger each period.
• Support month-end close by ensuring AR activity is complete, tied out, and reconciled to the GL.
• Resolve and escalated denied or underpaid claims with payors.
• Track denial and collection performance and surface recurring issues.
• Produce monthly AR metrics packages for finance leadership: aging, DSO, collection rate, denial rate, and payor mix.
• Build ad hoc reporting on demand —payor-performance views and cash-forecasting inputs.
• Support external audit: AR confirmations, aging tie-outs, and allowance-methodology review.
• Assist with cash-flow forecasting and working-capital analysis across locations.
• Support budget vs. actual and variance analysis for receivables and related revenue metrics.
• Help evaluate and roll out AR process and system improvements, including new tooling and workflow changes.

Skills

Accounts Receivable

Excel

Reconciliation

Communication

Data analysis

Education

Accounting/Finance degree

Tools

QuickBooks Online

Multi-entity accounting

Job description

Description

Accounts Receivable Specialist

Neighborhood LTC Pharmacy, Inc. (NRx)

Position Summary

We are hiring an Accounts Receivable Specialist to own day-to-day AR operations across our pharmacy and payment systems: posting payments, reconciling insurance, managing statements and aging, and following up on past-due accounts. The role also carries a reporting component: turning that transactional activity into aging, DSO, payor-mix, and collection/denial reporting. It's a strong fit for someone meticulous with reconciliations and comfortable in Excel, who takes pride in receivables that are clean, current, and audit-ready.

Position Details

Company: Neighborhood LTC Pharmacy, Inc. (NRx)

Department: Finance: Accounts Receivable

Reports to: Finance Manager

Works closely with: Accounts Payable/Bookkeeper, and pharmacy operations across all locations

Location: On-site

Status: Full-time / Hourly

Compensation: $50K - $60K

Key Responsibilities

Accounts Receivable — Daily Operations

• Post incoming patient and payor payments and reconcile them to the pharmacy system; keep the pharmacy system and payment platforms in sync.
• Respond to customer and facility inquiries regarding balances, statements, and payment status.
• Perform daily insurance reconciliation and produce daily payment reconciliation reports.
• Set up and maintain new-patient payment enrollments submitted.
• Verify and process medical-expense and refund requests (patient and payor overpayments).

Accounts Receivable — Cycle & Period Close

• Process, submit, and email monthly patient statements.
• Prepare and analyze patient and third-party (insurance) aging reports.
• Follow up on past-due accounts via collections calls and emails; document activity.
• Perform post-verification review of posted payments for accuracy.
• Code money-in transactions and close the AR sub-ledger each period.
• Support month-end close by ensuring AR activity is complete, tied out, and reconciled to the GL.

Payor & Dispute Management

• Resolve and escalated denied or underpaid claims with payors.
• Track denial and collection performance and surface recurring issues.

Analysis & Reporting

• Produce monthly AR metrics packages for finance leadership: aging, DSO, collection rate, denial rate, and payor mix.
• Build ad hoc reporting on demand —payor-performance views and cash-forecasting inputs.
• Support external audit: AR confirmations, aging tie-outs, and allowance-methodology review.
• Assist with cash-flow forecasting and working-capital analysis across locations.
• Support budget vs. actual and variance analysis for receivables and related revenue metrics.
• Help evaluate and roll out AR process and system improvements, including new tooling and workflow changes.

Requirements

Qualifications

Required

• Associate's or Bachelor's degree in Accounting, Finance, or a related field, or equivalent relevant experience.
• 2+ years in accounts receivable, billing, or a comparable accounting role.
• Solid grasp of the AR lifecycle: cash application, aging, collections, reconciliations, and period close.
• Proficiency in Excel (lookups, pivot tables, clean formula-driven worksheets).
• High accuracy, strong reconciliation discipline, and comfort handling confidential patient/payment data.
• Clear written and verbal communication for internal teams, customers, and payors.

Preferred

• Experience in pharmacy, healthcare, or LTC/specialty billing environments.
• Familiarity with insurance/third-party reconciliation and payor denial/dispute workflows.
• Exposure to QuickBooks Online and multi-location/multi-entity accounting.
• Analytical exposure: DSO analysis, payor-mix reporting, or cash forecasting.
• Awareness of HIPAA/PHI handling requirements when transmitting patient and payment data.

Core Competencies

• Detail-oriented and audit-minded — builds traceable, reconcilable work.
• Organized under recurring daily/monthly deadlines.
• Analytical mindset: turns transactional data into decision-useful reporting.
• Collaborative across finance, operations, and multiple pharmacy locations.
• Discreet and trustworthy with sensitive financial and patient information.