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.
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Ensures all required financial and application documentation is complete, accurate, and uploaded to the financial system.
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Manages Medicaid processing for move-ins, readmits, conversions, and move-outs, ensuring timely and accurate submissions.
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Monitors correspondence, respond to document requests, and coordinate timely submission of required information.
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Appeals denials and follow cases through approval.
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Tracks pending accounts, redeterminations, spenddown estimates, and approval status while communicating updates to stakeholders.
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Maintains detailed notes, adjustments, and income or liability updates within the financial system.
- Performs detailed account analysis for Medicaid and Managed Care balances.
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Researches and corrects unaccepted claims for reprocessing and ensure claims are addressed within expected timelines.
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Monitors payer, coding, contract, and service-date changes that impact billing and reimbursement.
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Submits appropriate write-offs for uncollectible accounts.
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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.
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Builds and maintains strong relationships with state agencies, managed care organizations, and financial partners.
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Communicate approvals, denials, discrepancies, and trends that may impact financial performance.
Qualifications:
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Associates degree in business or other related field
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Experience in accounts receivable, Medicaid billing, healthcare revenue cycle, or senior living finance
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Experience with Yardi and/or PointClickCare are a plus
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Strong attention to detail, organization, and documentation accuracy
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Ability to manage multiple deadlines and follow complex regulatory requirements
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Demonstrates strong computer skills while using a current version of Microsoft Windows, Excel, Word, and Outlook
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Must possess and demonstrate analytical skills, comprehension and application of GAAP with a very hands-on approach
Benefits:
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Comprehensive medical, dental, and vision benefit packages
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Employee Stock Ownership Program (ESOP)
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Employer-subsidized gym membership & wellness program
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EAP & Maven family planning program
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401(k) with biweekly employer match
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Outside-In Employee Referral Program
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Intentional work-life balance supported with competitive Paid Time Off
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Self-service payroll & tools (PayCom)
