Accounts Receivable Specialist

Gardant is seeking an Accounts Receivable Specialist responsible for managing Medicaid and Managed Care accounts, ensuring accurate documentation, timely application processing, claims follow-up, and resolution of outstanding balances. This role partners closely with Community leaders, operational leaders, and external agencies to support compliant and efficient revenue cycle processes. 

Responsibilities:

• Guides and supports Community teams on Medicaid accounts receivable processes and requirements.
• Ensures all required financial and application documentation is complete, accurate, and uploaded to the financial system.
• Manages Medicaid processing for move-ins, readmits, conversions, and move-outs, ensuring timely and accurate submissions.
• Monitors correspondence, respond to document requests, and coordinate timely submission of required information.
• Appeals denials and follow cases through approval.
• Tracks pending accounts, redeterminations, spenddown estimates, and approval status while communicating updates to stakeholders.
• Maintains detailed notes, adjustments, and income or liability updates within the financial system.  
• Performs detailed account analysis for Medicaid and Managed Care balances.
• Researches and corrects unaccepted claims for reprocessing and ensure claims are addressed within expected timelines.
• Monitors payer, coding, contract, and service-date changes that impact billing and reimbursement.
• Submits appropriate write-offs for uncollectible accounts.
• Reviews AR reports, escalate high-risk accounts, and provide guidance on next collection steps.  
• Partners with Community leaders, operational teams, and AR leadership to resolve discrepancies and support collections.
• Builds and maintains strong relationships with state agencies, managed care organizations, and financial partners.
• Communicate approvals, denials, discrepancies, and trends that may impact financial performance.  

Qualifications:

• Associates degree in business or other related field
• Experience in accounts receivable, Medicaid billing, healthcare revenue cycle, or senior living finance
• Experience with Yardi and/or PointClickCare are a plus
• Strong attention to detail, organization, and documentation accuracy
• Ability to manage multiple deadlines and follow complex regulatory requirements
• Demonstrates strong computer skills while using a current version of Microsoft Windows, Excel, Word, and Outlook
• Must possess and demonstrate analytical skills, comprehension and application of GAAP with a very hands-on approach

Benefits:

• Comprehensive medical, dental, and vision benefit packages
• Employee Stock Ownership Program (ESOP)
• Employer-subsidized gym membership & wellness program
• EAP & Maven family planning program
• 401(k) with biweekly employer match
• Outside-In Employee Referral Program
• Intentional work-life balance supported with competitive Paid Time Off
• Self-service payroll & tools (PayCom)