Accounts Receivable Manager

Spectrum Support • Milford Mill, Maryland • Full Time

Posted on Sat, Aug 15, 2026

Spectrum Support, Inc.

Position Title: Accounts Receivable Manager

Spectrum staff provides support for many aspects of life for people with intellectual and developmental disabilities. Spectrum believes that people with developmental disabilities deserve every opportunity to live their best life, free of judgment. Spectrum Support helps people with developmental disabilities overcome the challenges they face, fight stigmas, and find new, exciting ways to live their life how they choose to.

In your role as the Accounts Receivable (AR) Manager, you are responsible for managing all revenue/receivables, primarily with our government funding partners (Developmental Disabilities Administration (DDA)/Centers for Medicare/Medicaid and Division of Rehabilitation Services (DORS), some private-pay or donation revenue. Cash flow is mission-critical because payroll for Direct Support Professionals (DSPs) and Employment staff is usually the largest expense and must be met even when state reimbursements are delayed. Your position's engagement with both the fiscal team and the program team is key to ensuring the integrity of our billing systems and its link to quality programming.

Position Summary:

As the AR Manager, you will support our mission through four key activities:

  1. Revenue billing: Generate and deliver accurate invoices/claims for services rendered each month. Bill 100% of the revenue earned in the correct period, accurately and timely.
  2. Revenue tracking and reconciliation: Utilize internal and external systems (CIMS/LTSS/Quick Books) to ensure that each invoice/claim is paid through internal reconciliation processes. Cross check for both initial and ongoing non-payments/over-payments consistently.
  3. Fiscal Integrity: Follow the generally accepted accounting principles (GAAP) by emphasizing accountability and efficiency to ensure Spectrum's billing is supported by documentation which meets internal quality standards and external requirements of funding partners.
  4. Waiver processing: Work with the program team to ensure people with IDD have an active waiver or that the waiver renewal process is being worked through timely and accurately to minimize any lost revenue.

Core Responsibilities:

The AR Manager will oversee all aspects of Spectrum's billing and the reconciliation of the payments each month.

You will oversee billing and claims submission to the state DDA system (e.g. CIMS, LTSS) and invoicing submissions to the state DORS portal.

You will ensure service documentation from Directors is complete, and submitted on time (authorizations, progress notes, attendance logs, goal tracking) so claims are not denied.

You will reconcile DDA payments against authorized units/hours and follow up on denied or underpaid claims.

You will track and bill one-time payments (employment milestones; nursing; transportation and behavioral plans and assessments) monthly.

You will track and bill self-directed invoices monthly.

You will review monthly Representative Payee accounts for accuracy and enter the expenses into the Spectrum QuickBooks system.

You will review the waiver status of people each month, provide any support needed to help with waiver renewals and work directly with program directors to support the resolution of any loss of waiver status to minimize any lost revenue.

You will track Divvy reviews and completions each month for all staff to ensure that account allocations are up-to-date and accurate and that appropriate action is taken for missing or incomplete information.

You will run aging reports specifically for receivables in QuickBooks and run LTSS reports to upload into CIMS for reconciliation each month.

You will work closely with the Program Directors/Managers to resolve documentation errors that cause claim denials.

You will report ongoing concerns with individual staff and/or overall patterns and system problems which prevent compliance with external billing requirements and internal system procedures.

You will assist with annual audits as needed.

You will maintain compliance with HIPAA when handling client billing data.

You will manage small grants or donation receivables and reporting as needed.

Position Requirements and Skills:

Qualifications:

Physical Requirements:

N/A

Prerequisites:

Job Classification: Exempt

Supervision:

Supervised by: Executive Director/Director of Finance

Location: Frederick MD and/or Windsor Mill, MD.

AuditFriendly salary estimate

The employer did not post a salary for this role. Based on AuditFriendly's salary intelligence model (comparable live postings, role, seniority, and location), we estimate base pay of $77,000–$105,000 per year (median ~$91,000). This is an AuditFriendly estimate, not an employer-provided figure.

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