AR / Billing Specialist

Job Type
Full-time
Description
Santa Marta
A Continuing Care Retirement Community (CCRC)
Position Title: AR/Billing Specialist
Department: Finance / Business Office
FLSA: Hourly, Non-Exempt, FT
Supervisor: Director of Accounting
Revised: August 8, 2025
About Santa Marta
Santa Marta is a vibrant and compassionate Continuing Care Retirement Community (CCRC) dedicated to enriching the lives of our residents through exceptional care, strong relationships, and a commitment to excellence. We're seeking a detail-oriented, service-minded professional to join our team and help ensure the accuracy, timeliness, and integrity of our billing processes.
Position Summary
The AR/Billing Specialist is responsible for managing all aspects of billing and accounts receivable for residents and third-party payers. This includes accurate invoicing, collections, Medicare and insurance claim processing, and maintaining meticulous financial records. The role requires strong attention to detail, effective communication skills, and a commitment to following all federal, state, and local regulations, as well as Santa Marta's policies and standards.
Essential Duties & Responsibilities
This list outlines the primary responsibilities but is not all-inclusive-flexibility and adaptability are key.
•Billing & A/R Management - Oversee and maintain all resident and third-party billing functions.
•Resident & Third-Party Accounts - Maintain census data, post charges to resident ledgers, balance daily receipts, and manage delinquent accounts, including recommending accounts for collection.
•Insurance & Medicare Processing - Verify Medicare & Medicare Advantage eligibility, confirm coverage days, review claims for accuracy, and submit timely statements to Medicare, private insurance, and private pay sources.
•Accuracy & Compliance - Audit billing data for errors, ensure timely submission, and make necessary corrections.
•Reporting - Generate accurate statistical, financial, and compliance reports as required.
•Resident Account Management - Work with residents or their representatives to establish payment methods and assess financial status in collaboration with the Director of Accounting.
•Records & Documentation - Organize and maintain billing files, remittance statements, and other AR records.
•Audit & Reporting Support - Assist in annual audits and the completion of required local, state, and federal reports.
•Data Management - Receive all AR payments and maintain accurate databases.
•Cross-Department Collaboration - Communicate effectively with internal departments, residents, families, auditors, and agencies.
•Confidentiality - Protect all resident financial and health information in compliance with HIPAA standards.
•Team Engagement - Foster positive relationships with colleagues, residents, and visitors.
•Other Duties - Perform additional responsibilities as assigned by the Director of Accounting.
Requirements
Qualifications
Education & Experience
•Bachelor's degree in a business-related field or equivalent experience.
•Two (2) years office management experience preferred.
•One (1) year experience in long-term care, hospital, or health care setting, preferably processing Medicare claims.
Knowledge, Skills & Abilities
•Strong command of the English language-written and verbal.
•Proficient in office technology and able to adapt to new systems.
•Ability to make sound, independent decisions when needed.
•Knowledge of business office procedures, regulations, and guidelines in long-term care facilities.
•High level of accuracy in accounts receivable and billing functions.
•Detail-oriented and able to work in environments with frequent interruptions.
•Self-motivated with minimal supervision.
•Preferred: Experience with Sage, MealSuite PCC, Clearinghouse, and Managed Care billing systems.
Environmental Adaptability
•Primarily works indoors in a climate-controlled setting.
•Possible exposure to unpleasant odors.
•Possible exposure to cleaning chemicals per MSDS guidelines.
•Regular contact with residents who may be ill, confused, or irritable.