AR Specialist — Detail-Oriented with Reconciliation Focus

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

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.