The Arc Rockland ยท 1 day ago
Accounts Receivable Specialist
The Arc Rockland is dedicated to supporting individuals with developmental disabilities, and they are seeking an Accounts Receivable Specialist to manage the complete accounts receivable cycle. This role focuses on Medicaid claims processing, client billing, and ensuring compliance with relevant regulations.
Responsibilities
Review, prepare, and submit Medicaid claims accurately and timely via the eMedNY system
Monitor claim status, investigate denials or rejections, and prepare and submit appeals with supporting documentation as required
Track, manage, and analyze NYS Medicaid recoupments, voids, claim adjustments and rate adjustments, providing variance explanations to the Director of Revenue
Ensure all billing practices comply with Medicaid rules, HIPAA guidelines, and relevant state/federal regulations
Process and track client contributions, including managing Supplemental Nutrition Assistance Program (SNAP) benefits
Calculate individual client rent shortfalls by analyzing income sources, including understanding documentation related to Social Security benefits, SSI, and SSDI
Coordinate with Entitlement Coordinator to verify client income & excess benefits to ensure accurate and compliant rent shortfall billing
Generate and upload accurate and timely vouchers for preschool tuition and other nonprofit programs in CPSE Portal
Process and apply incoming payments to the appropriate customer accounts in NetSuite and retrieving Clinic deposits reports
Perform account reconciliations regularly to ensure accurate accounts receivable balances
Research and resolve payment discrepancies and billing issues in a timely manner
Monitor the accounts receivable aging reports in general ledger and coordinate collection efforts professionally
Maintain accurate customer and billing records and assist with month-end and year-end closing procedures
Prepare various AR reports and statements for management review before distribution
Qualification
Required
Minimum of 2+ years of proven experience in accounts receivable and billing roles, preferably within a healthcare or nonprofit environment
Hands-on experience with Medicaid claims submission and follow-up (eMedNY experience highly preferred)
Experience analyzing healthcare reimbursements, rate changes, and government benefits (Medicaid, SNAP, Social Security)
Strong proficiency in accounting software, NetSuite preferably, familiarity with EHR, CureMD a plus, Microsoft Excel (pivot tables, VLOOKUPs)
Solid understanding of accounting principles (GAAP)
Exceptional attention to detail and high degree of accuracy in data entry and financial record-keeping
Strong analytical and problem-solving skills to investigate and resolve complex discrepancies and perform rate analysis
Excellent verbal and written communication skills, with the ability to interact professionally with clients, payers, and internal staff
Associate's or Bachelor's degree in Accounting, Finance, or a related field is a plus