Job Title: Accounts Receivable Director
Department: Business Office
Location: Woodmere, New York
Reports To: CEO/CFO
FLSA Status: Exempt

POSITION SUMMARY:

We are seeking a detail-oriented, strategic, and experienced Accounts Receivable Director to lead and manage the revenue cycle process in our skilled nursing facility home office. This leadership role ensures timely and accurate billing, collections, and cash posting for all payer types including Medicare, Medicaid, Managed Care, and Private Pay. The AR Director plays a critical role in maintaining financial health, regulatory compliance, and operational efficiency.

QUALIFICATIONS:

• Minimum of 5 years of progressive experience in accounts receivable, with at least 2 years in a leadership role.
• Experience in a skilled nursing facility or long-term care setting (required).
• Strong knowledge of Medicare/Medicaid/Managed Care billing, collections, and compliance regulations.
• Proficiency in EHR systems and AR software (e.g., PointClickCare, MatrixCare, or similar platforms).
• Excellent leadership, analytical, and communication skills.
• Ability to meet deadlines in a fast-paced environment and drive process improvements.

• Oversee all aspects of accounts receivable, including billing, collections, payment posting, and reconciliation.
• Communicate with teams within the facilities regarding admissions processes to ensure proper collections
• Supervise and support business office staff, ensuring efficiency, accuracy, and accountability in all AR functions.
• Monitor aging reports, reduce Days Sales Outstanding (DSO), and implement effective collection strategies.
• Ensure proper documentation and timely submission of claims to all third-party payers.
• Serve as the subject matter expert for Medicare, Medicaid, and Managed Care billing guidelines and requirements.
• Coordinate with clinical and admissions teams to verify coverage and ensure proper pre-authorizations.
• Review and resolve denials, rejections, and appeals in coordination with billing staff and payers.
• Manage monthly revenue close process and prepare AR-related financial reports for executive leadership.
• Conduct regular AR meetings and provide performance feedback and training to team members.
• Maintain compliance with federal and state regulations, including HIPAA and SNF-specific financial regulations.
• Support audits, both internal and external, and ensure accurate documentation and follow-through.