AR Billing Supervisor

Pennant

. Oversee accounts receivable, Medicaid billing, managed care billing, collections, and revenue cycle functions across a multi-state portfolio of senior living communities .

Posted 10/12/2026full-timeUnited StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing the full-cycle accounts receivable process, Medicaid billing, and revenue cycle functions while ensuring compliance with regulatory requirements. Proficient in analyzing performance metrics and leading teams to optimize billing operations across multiple states.

Highest-signal resume keywords

Medicaid Billing Operations ManagementHealthcare Revenue Cycle ExpertiseLeadership and Team ManagementAnalytical and Problem-Solving SkillsCertified Revenue Cycle Representative (CRCR)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Accounts Receivable ManagementMedicaid BillingManaged Care BillingClaim Submission and Denial ManagementReimbursement MethodologiesRevenue RecoveryData AnalysisProcess ImprovementRegulatory ComplianceFinancial Reporting

Soft Skills

Excellent Communication SkillsCoaching and MentoringPresentation SkillsOrganizational SkillsAbility to Manage Multiple Priorities

Tools & Technologies

EMR SystemsBilling PlatformsRevenue Cycle PlatformsMicrosoft ExcelMicrosoft OutlookMicrosoft WordMicrosoft PowerPoint

Certifications & Qualifications

Certified Revenue Cycle Representative (CRCR)

Industry Keywords

Healthcare AdministrationSenior LivingLong-Term CareSkilled NursingAssisted LivingMedicaid Waiver ProgramsManaged Care OrganizationsState-Specific Medicaid ProgramsAging ReportsAudit Preparedness

About the role

Key responsibilities & impact

Oversee accounts receivable, Medicaid billing, managed care billing, collections, and revenue cycle functions across a multi-state portfolio of senior living communities
Ensure accurate and timely billing, reimbursement, collection, reconciliation, and regulatory compliance
Manage the full-cycle accounts receivable process for assigned communities
Audit accounts receivable functions and billing practices
Analyze AR trends, collection performance, aging reports, and reimbursement activity
Prepare and present AR, Medicaid, and managed care performance reports to leadership
Monitor collections, aging, denials, authorizations, pending Medicaid applications, reimbursement timeliness, and bad debt trends
Oversee multi-state Medicaid billing operations and state-specific waiver and managed care requirements
Monitor resident eligibility, authorizations, Medicaid pending status, and redetermination requirements
Ensure timely submission of Medicaid, waiver, and managed care claims and supporting documentation
Manage claim denials, rejections, recoupments, underpayments, and reimbursement discrepancies
Collaborate with Medicaid agencies, managed care organizations, case managers, and community staff
Monitor regulatory and reimbursement changes and implement process updates
Support audit preparedness and coordinate responses to Medicaid, payer, and internal audits
Serve as the primary escalation point for billing, collections, Medicaid, and reimbursement concerns
Develop and maintain standard operating procedures and best practices
Provide coaching, mentoring, training, and educational sessions to AR staff, Business Office Managers, and field representatives
Assist locations with corrective action plans
Participate in organizational meetings and support month-end close, accrual reviews, revenue reconciliations, and reimbursement analysis
Supervise Medicaid Billing and Managed Care Resources and assigned Revenue Cycle Support Team Members
Ensure team quality, productivity, training, and compliance

Requirements

What you’ll need

Bachelor's degree in Accounting, Finance, Healthcare Administration, Business Administration, or related field, or equivalent experience
Minimum of 5 years of healthcare revenue cycle, accounts receivable, Medicaid billing, or managed care billing experience
Minimum of 2 years of leadership, supervisory, or team management experience
Demonstrated experience managing Medicaid billing operations across multiple states
Strong knowledge of Medicaid waiver programs, managed care organizations, authorizations, eligibility processes, and reimbursement methodologies
Experience with claim submission, denial management, appeals, collections, and revenue recovery
Experience using EMR, billing, and revenue cycle platforms
Strong analytical and problem-solving abilities with emphasis on accuracy, compliance, and process improvement
Advanced proficiency with Microsoft Excel, Outlook, Word, and PowerPoint
Working knowledge of state assisted living regulations and healthcare reimbursement requirements
Ability to conduct presentations, training programs, and operational reviews at all organizational levels
Excellent verbal and written communication skills
Ability to manage multiple priorities and deadlines across a geographically diverse portfolio
Ability to work effectively with operations leadership, community staff, residents, families, state agencies, and managed care organizations
Experience working within assisted living, senior living, long-term care, skilled nursing, or healthcare environments preferred
Certified Revenue Cycle Representative (CRCR) or similar healthcare revenue cycle certification preferred
Experience with HCBS waiver programs, ALW, ALTCS, STAR+PLUS, Family Care, and other state-specific Medicaid programs preferred

Benefits

Comp & perks

Full benefits package (medical, dental, vision, 401(k) with match)
Paid time off
Holiday pay
Professional development
True Work-Life balance
Work with passionate and high-achieving leaders focused on patient outcomes and team success