AR / Billing Specialist

Job Description

Job Description

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 :

QualificationsEducation & Experience

Knowledge, Skills & Abilities

Environmental Adaptability