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Overview: In this role you lead the AR and Medicaid revenue cycle for a multi-state senior living portfolio, ensuring accurate billing, timely reimbursements, and regulatory compliance. You'll provide subject-matter guidance on Medicaid and waiver programs, supervise billing operations, and drive reconciliation and audit readiness. You collaborate with cross-functional teams to improve reimbursement outcomes and reduce aging while upholding CAPLICO values. This is an impact role shaping Medicaid performance across states and communities. Compensation / Benefits Full benefits package (medical, dental, vision)401(k) with match Paid time off and holiday pay Professional development Remote work options Work-life balance emphasis
Responsibilities:
  • Oversee full-cycle accounts receivable for assigned communities
  • Audit AR functions for accuracy and compliance
  • Analyze AR trends, aging, and reimbursement activity to identify risks and opportunities
  • Prepare AR, Medicaid, and managed care performance reports for leadership
  • Monitor collections, denials, authorizations, and Medicaid timelines
  • Oversee Medicaid billing across multiple states and ensure payer compliance
  • Manage claim denials, rejections, and underpayments; coordinate issue resolution
  • Develop and maintain SOPs for Medicaid and AR functions; train staff
  • Support audit readiness and responses for Medicaid and internal audits
  • Lead process improvements to enhance efficiency, compliance, and financial performance
  • Participate in cluster/region meetings and support month-end close processes
Key requirements:
  • 5+ years in healthcare revenue cycle, AR, Medicaid, or managed care billing 2+ years of leadership or supervisory experience
  • Experience managing Medicaid billing across multiple states
  • Strong knowledge of Medicaid waiver programs, eligibility, authorizations, and reimbursement
  • Experience with claim submission, denial management, and appeals
  • Experience in assisted living, senior living, long-term care, or healthcare environments preferred
  • Experience with EMR, billing, and revenue cycle platforms
  • Advanced Excel, Outlook, Word, and PowerPoint skills
  • Excellent verbal and written communication; ability to present to diverse stakeholders
  • Ability to manage multiple priorities across a geographically diverse portfolioleadership and people managementanalytical thinking and problem-solvingeffective communication
  • Medicaid billingwaiver programs (ALW, ALTCS, HCBS)claim submission systems

Also on the board Same function, level within a rung

Level

Manager

Location

Arlington, VA

Occupation

Medical and Health Services Managers

Industry

Assisted Living Facilities for the Elderly

Posted

2 days ago

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