Accounts Receivable Specialist

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

Job summary

Neighborhood LTC Pharmacy, Inc. (NRx) is seeking an Accounts Receivable Specialist to own day-to-day AR operations across our pharmacy and payment systems, including posting payments, reconciling insurance, managing statements, aging, and related reporting.

The role emphasizes meticulous reconciliations and strong Excel skills, with a focus on clean, current receivables that are audit-ready. On-site position supporting multiple locations, with a solid compensation package.

Qualifications

• 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.

Responsibilities

• 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).
• 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.
• Resolve and escrow 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.

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 escrow 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.

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.

Compensation details

50000-60000 Yearly Salary