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Accounts Receivable Resource

Job in Des Moines, Polk County, Iowa, 50319, USA
Listing for: Ensign Services
Full Time position
Listed on 2026-08-06
Job specializations:
  • Business
    Accounts Receivable/ Collections
Salary/Wage Range or Industry Benchmark: 85000 - 100000 USD Yearly USD 85000.00 100000.00 YEAR
Job Description & How to Apply Below

About the Company:

Ensign Services, Inc. ("ESI") is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast-growing post‑acute care industry. ESI provides service and support to over 361 facilities in the long‑term care continuum that employ over 55,000 employees.

ESI is known as the “Service Center” and provides the facilities and leaders it serves with “back‑office” support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting. This structure allows the onsite leaders and caregivers to focus on day‑to‑day care and operational issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource – our people.

We take our core values of Celebration
, Accountability
, Passion for Learning
, Love One Another
, Intelligent Risk Taking
, Customer Second
, and Ownership ("CAPLICO") seriously. We want an individual in this role who will demonstrate these values through actions and words.

About the Opportunity:

The primary purpose of this position is to train and assist business office managers and staff on accurate and efficient billing practices according to company and industry standards, to monitor timely collections of accounts receivable across multiple operations in and around the Iowa market and to ensure exact recording of revenue transactions in locations operating in the healthcare industry.

Duties and Responsibilities:
  • Plan, develop, organize, implement, evaluate, and direct the locations accounts receivable functions under the supervision of the Director of Accounts Receivable.
  • Analyze and observe AR functions and processes in the business office to ensure maximum workflow and productivity, communicating deficiencies as well as best practices to operation management.
  • Provide and conduct subject matter training as needed with business office staff in multiple locations.
  • Monitor, update and train financial policies and procedures related to current Company policy and industry specific government regulations in effect.
  • Communicate best practices with peers and staff at assigned locations.
  • Assist, monitor and provide corrective action to accounts receivable workflow processes at assigned locations.
  • Perform and/or coordinate month‑end close processes when staff vacancies require one to do so.
  • Coordinate and/or assist with business office accounts receivable functions when location positions are vacant.
Qualifications:
  • 5+ years of Business Office Manager experience in the skilled nursing (SNF) / LTC setting.
  • Accounts Receivable experience in a skilled nursing (SNF) / LTC setting.
  • 2+ years’ experience in multi‑facility oversight role preferred.
  • Point Click Care  experience preferred.
  • Iowa Medicaid Billing and Applications preferred.
  • Ability to travel long distance.
  • Able to prioritize and organize tasks at hand to meet specific deadlines.
  • Attention to detail and accuracy.
  • Proficient in Microsoft Word, Outlook and Excel.
  • Knowledge of state regulations.
  • RFMS experience preferred.
Additional Information:

Location:

Des Moines, IA

Salary: $85,000 to $100,000 DOE; may also be eligible for bonus.

  • Pre‑employment criminal background screening required.

We offer competitive wages, mentorship and training for new graduates, tuition reimbursement, dependent care and public transportation FSAs, cell phone and movie ticket discounts, 401(k) with matching contributions, career advancement opportunities and medical, dental, and health insurance. Take a look at these benefits (and more!) at

Ensign Services, Inc. is an equal opportunity employer. If you need assistance or accommodation during the application process, please contact us at .

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