AR Billing Supervisor

pennant; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

Pennant is seeking an AR Supervisor to lead accounts receivable, Medicaid and managed care billing, and the revenue cycle across a multi-state portfolio of senior living communities.

You will ensure accurate billing, timely reimbursement, and reconciliation of resident accounts, while maintaining compliance with federal, state, and waiver programs, and mentoring the AR staff.

Collaborate with leadership to monitor KPIs, address denials, and drive process improvements across locations.

Responsibilities

• Oversee full-cycle accounts receivable for assigned communities.
• Audit AR functions and billing practices for accuracy and compliance.
• Monitor collections, aging, denials, authorizations, and reimbursement timelines.
• Prepare AR, Medicaid, and managed care performance reports for leadership.
• Collaborate with state Medicaid agencies and MCOs to resolve issues.

Job description

Position Summary

The AR Supervisor is a detail-oriented, results-driven leader responsible for overseeing the accounts receivable, Medicaid billing, managed care billing, collections, and revenue cycle functions across a multi-state portfolio of senior living communities. This position is accountable for ensuring the accurate and timely billing, reimbursement, collection, and reconciliation of resident accounts while maintaining compliance with federal, state, Medicaid, and managed care regulations.

The AR Supervisor provides operational oversight and subject matter expertise for Medicaid and waiver-based programs in multiple states, including eligibility verification, authorizations, level-of-care requirements, payer-specific billing requirements, claim submission, reimbursement tracking, denial management, and audit readiness. This role serves as a key resource to Business Office Managers, Executive Directors, Market Leaders, and Revenue Cycle leadership regarding Medicaid revenue cycle performance and regulatory compliance.

The AR Supervisor collaborates closely with Cash and Census Supervisor, Cash Posting and Census Resources, Medicaid/Managed Care Resources, and operational leadership to establish best practices, improve reimbursement outcomes, reduce aging, and maintain world-class accounts receivable and Medicaid billing operations across multiple communities and states.

Essential Functions and Responsibilities

Revenue Cycle and Accounts Receivable Oversight

• Ensure the CAPLICO Core Values are adhered to at all times.
• Ensure compliance with Resident Rights, HIPAA, and all applicable federal and state regulations.
• Ensure all accounting and revenue cycle procedures are followed in accordance with company policies and regulatory requirements.
• Manage and oversee the full-cycle accounts receivable process for assigned communities.
• Audit accounts receivable functions and billing practices to ensure accuracy, compliance, and timely reimbursement.
• Analyze accounts receivable trends, collection performance, aging reports, and reimbursement activity to identify risks and opportunities.
• Prepare and present regular AR, Medicaid, and managed care performance reports to leadership.
• Monitor key performance indicators including collections, aging, denials, authorizations, pending Medicaid applications, reimbursement timeliness, and bad debt trends.

Medicaid and Managed Care Leadership

• Oversee Medicaid billing operations across multiple states, ensuring compliance with state-specific Medicaid regulations, waiver programs, managed care organizations (MCOs), and payer requirements.
• Provide subject matter expertise related to Medicaid eligibility, authorizations, level-of-care assessments, managed care enrollment, and payer requirements.
• Monitor resident eligibility, authorizations, Medicaid pending status, and redetermination requirements to ensure uninterrupted reimbursement.
• Ensure timely and accurate submission of Medicaid, waiver, and managed care claims and supporting documentation.
• Manage and resolve claim denials, rejections, recoupments, underpayments, and reimbursement discrepancies.
• Collaborate with state Medicaid agencies, managed care organizations, case managers, and community staff to resolve eligibility and reimbursement issues.
• Monitor regulatory and reimbursement changes across all assigned states and implement process updates as needed.
• Support audit preparedness and coordinate responses for Medicaid, payer, and internal audits.
• Ensure billing practices remain compliant with state-specific assisted living, HCBS waiver, ALW, ALTCS, and other applicable Medicaid programs.

Operational Support and Training

• Serve as the primary escalation point for Business Office Managers and operations leaders regarding Medicaid, billing, collections, and reimbursement concerns.
• Assess revenue cycle processes and recommend improvements that promote efficiency, compliance, and financial performance.
• Develop, implement, and maintain standard operating procedures and best practices for Medicaid and AR functions.
• Provide coaching, mentoring, and training to AR staff, Business Office Managers, and field representatives.
• Lead educational sessions regarding Medicaid regulations, managed care processes, billing requirements, authorizations, and reimbursement trends.
• Assist locations in implementing corrective action plans related to accounts receivable performance and Medicaid compliance.
• Participate in Cluster, Regional, Market, and Revenue Cycle meetings as requested.
• Support month-end close processes, accrual reviews, revenue reconciliations, and reimbursement analysis.
• Perform other duties as assigned by Finance, President, or other key stakeholders.

Supervisory Responsibilities

Directly supervises and provides leadership, coaching, and performance oversight for:

• Medicaid Billing and Managed Care Resource(s)
• Revenue Cycle Support Team Members as assigned

Responsible for the overall quality, productivity, training, and