Accounts Receivable Specialist – Skilled Nursing Billing

Cornerstone Services; Des Moines (IA); On-site; USD 52,000 - 76,000; Full time

Job summary

Cornerstone Services seeks an experienced Accounts Receivable Resource to support billing and collections for skilled nursing facilities. You will manage payor follow-up, review aging, and resolve denied claims while ensuring accurate postings and reconciliations.

Role requires prior healthcare A/R, PCC and Inovalon familiarity, strong Excel skills, and attention to detail. Collaboration with residents, facility staff, and leadership is essential.

Qualifications

• Prior skilled nursing, long-term care, or healthcare accounts receivable experience.
• Experience with PCC and Inovalon or similar platforms.
• Strong Microsoft Excel skills and data accuracy.
• Iowa Medicaid and managed-care billing knowledge preferred.
• CHOW experience is a plus, with solid communication ability.

Responsibilities

• Manage accounts receivable follow-up for Medicare, Medicaid, managed care, private-pay, and other payors
• Review aging reports and prioritize outstanding accounts for collection
• Research denied, delayed, or underpaid claims and follow through to resolution
• Complete billing, payment posting, adjustments, and account reconciliation
• Monitor Medicaid eligibility, authorizations, patient liability, and managed-care requirements
• Communicate professionally with residents, responsible parties, facility staff, payors, and outside partners
• Maintain clear documentation of collection activity and account status
• Prepare accurate reports and updates for leadership
• Assist with CHOW-related billing transitions, enrollments, and accounts receivable setup as needed
• Support facility Business Office staff and help maintain consistent billing and collection processes

Skills

Healthcare A/R experience

Iowa Medicaid billing knowledge

Attention to detail

Communication skills

Multi-priority management

Tools

PointClickCare (PCC)

Inovalon or similar clearinghouses

Microsoft Excel

Job description

Cornerstone Services seeks an experienced Accounts Receivable Resource to support billing and collections for skilled nursing facilities. You will manage payor follow-up, review aging, and resolve denied claims while ensuring accurate postings and reconciliations.

Role requires prior healthcare A/R, PCC and Inovalon familiarity, strong Excel skills, and attention to detail. Collaboration with residents, facility staff, and leadership is essential.