AR Resource

Cornerstone Services; Des Moines (IA); On-site; USD 55,000 - 70,000; Full time

Job summary

Cornerstone Services in Des Moines, IA seeks an Accounts Receivable Resource to support billing and collections for skilled nursing facilities. You will manage AR follow-up with Medicare, Medicaid, managed care, and private-pay payors, review aging, and drive resolution of denials and underpayments.

Responsibilities include billing, posting, adjustments, and account reconciliation while ensuring accuracy and timely reporting to leadership.

Qualifications

• Experience with skilled nursing billing and AR follow-up.
• Knowledge of Iowa Medicaid and managed-care billing preferred.
• Experience with PCC and Inovalon is highly preferred.
• Strong written and verbal communication skills.

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

Accounts receivable management

Medicare/Medicaid billing

Payor communication

Attention to detail

Multitasking

Analytical mindset

Tools

PointClickCare (PCC)

Inovalon

Claims clearinghouse platforms

Microsoft Excel

Job description

Accounts Receivable Resource – Skilled Nursing

We are seeking an experienced and highly organized Accounts Receivable Resource to support the billing and collection operations of skilled nursing facilities in Iowa. This position will help ensure accurate, timely billing and collections while working closely with facility teams, payors, and company leadership.

Responsibilities include:

• 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

Preferred qualifications:

• Prior skilled nursing, long-term care, or healthcare accounts receivable experience
• Experience with PointClickCare (PCC)
• Experience with Inovalon or similar claims management and clearinghouse platforms
• Strong Microsoft Excel skills
• Knowledge of Iowa Medicaid and managed-care billing is strongly preferred
• CHOW experience is a plus
• Excellent written and verbal communication skills
• Strong organizational skills and attention to detail
• Ability to manage multiple priorities, meet deadlines, and work independently
• A problem-solving mindset with a commitment to accurate and timely follow-through

We are looking for someone who is dependable, proactive, and comfortable taking ownership of accounts from initial billing through final resolution.