AR 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 Point Click Care  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 programEAP & 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 (Pay Com)