Skilled Nursing AR Specialist — Billing & Collections Pro

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

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.