Accounts Receivable Specialist

Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.

Job Summary
The Accounts Receivable Specialist is responsible for accurate and timely billing, payment posting, and follow-up on accounts receivable for Skilled Nursing Facilities (SNF), Senior Housing communities, and other ancillary services. This role ensures claims and statements are processed in compliance with Medicare, Medicaid, Managed Care, and Private Pay requirements. The Specialist works closely with the Revenue Cycle Manager, facility teams, and payers to support optimal cash flow and minimize outstanding balances.

Roles and Responsibilities
* Manages accounts receivable functions across multiple facilities and collaborates with on-site and centralized teams to resolve discrepancies, standardize procedures, and support financial reporting for all facilities.
* Serves as a financial contact for operational leadership, ensuring consistent billing accuracy, payer compliance, and timely cash collection across all assigned facilities.
* Performs and oversees billing and collection functions for all payer types within the assigned division, ensuring monthly billing deadlines, collection goals, and compliance standards are met while minimizing bad debt by preparing, reviewing, and submitting accurate claims for SNF and senior housing services to Medicare, Medicaid, Managed Care, and Private Pay payers.
* Verifies accuracy of census and charge data prior to billing submission.
* Corrects and resubmits rejected or denied claims in a timely manner.
* Maintains knowledge of current payer requirements, billing rules, and authorization processes.
* Monitors and follows up on unpaid or underpaid claims to ensure timely collections.
* Contacts payers, residents, or responsible parties to resolve payment issues and discrepancies.
* Documents all collection activity and maintain detailed records in billing systems.
* Reconciles payments and adjustments to ensure accurate A/R balances.
* Ensures adjustments, write-offs, and refunds are posted to the appropriate accounts.
* Ensures deposits and cash postings reconcile with bank and general ledger accounts.
* Identifies and resolves payment posting discrepancies.
* Assists with month-end close activities, including A/R reconciliations and reporting.
* Provides status updates on outstanding accounts and collection activity to management.
* Supports preparation of aging reports and denial trend analyses.
* Maintains compliance with HIPAA and company confidentiality policies.
* Follows all payer and regulatory guidelines to ensure clean claims and accurate reimbursement.
* Supports audit requests and provide documentation as needed.
* Other duties as assigned.

Qualifications
Education: High School / GED
Experience: 5-8 years

Licenses and Certifications
Associates degree preferred
Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies..
Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar).
Strong attention to detail, organization, and accuracy.

Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.

• Competitive salaries and weekly pay
• 401(k) Company Match
• Mental Health Support Program
• Student Loan Repayment and Tuition Reimbursement
• Health, vision, dental & life insurance kick in on the first of the month after your start date
• First time homebuyers' program
• HSA/FSA
• And so much more!

Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged.

Flexibility is what you want, and flexibility is what you'll get.

Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you.

Six months of training, orientation, and fun!

We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.

As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws.

FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.