Accounts Receivable Specialist

Make a Difference / Who We Are:

Pioneer Resources is a 501(c)3 non-profit organization.  Our mission is to help people with disabilities and seniors obtain independence and dignity by creating opportunities for participation in the community using our four pillars of service:

• A place to live; affordable housing and specialized homes
• A place to learn; vocational training, ABA therapy & community living supports programs
• A place to grow and play; Pioneer Trails camping and recreational programs
• A way to get there; one of the largest transportation fleets on the lakeshore

Pioneer Resources is a great place to work  Members of our team are an energizing mix of veteran staff from over 40 years of experience to those only recently discovering their passion for helping others.   Our workforce respects the diversity of the people we serve and those we serve alongside.  Pioneer Resources offers a rewarding work experience that strategically meets the needs of our community while fostering employee success with personal fulfillment and work-life balance.  As an employee of Pioneer Resources, you will have the unique opportunity to touch the lives of those in your community every time you come to work

Agency Values:

All positions within Pioneer Resources are expected to abide by the agency values of LEAD: Listen, Empathy, Acknowledge and Dignity.  We engage and interact with our participants, residents, and co-workers each and every day by listening to their needs with empathy and understanding, while acknowledging everyone as an individual and treating all with the utmost dignity and respect.

Position Type / Expected Hours of Work: 

This is a full-time position that works on average 40 or more hours a week. Additional hours may be required.  This position has a standard work week of 8:00am-4:30pm Monday through Friday; schedule may vary based on agency needs at the discretion of the direct supervisor and/or CEO.   A hybrid remote schedule may also be available as approved by the department director and CEO.

Summary: 

The Accounts Receivable Specialist is responsible for managing the organization's billing, payment application, and revenue assurance processes to ensure timely and accurate financial transactions. This position requires strong attention to detail, effective communication, and adherence to compliance standards while supporting internal teams and maintaining positive customer relationships.

Essential Functions: 

This is not intended to be an exhaustive listing of job functions.  This job description in no way states or implies that these are the only duties to be performed by this employee.  The employee is required to follow any other instructions, and to perform any other duties, as assigned.  

Billing & Claims Processing

• Download billing reports from Electronic Health Record and create spreadsheets for billing and claim submission.
• Process other billing (spreadsheets, MRS authorizations, Camp, Rents).
• Electronic transmission (or paper submission if required) of claims to third-party payers within the 60-day rule.
• Update rates on billing items and verify G/L account distribution.
• Track authorizations for services for third-party billing.

Payment Application & Account Reconciliation

• Enter ACH and check deposits into business software and apply payments promptly.
• Download ACH remittance advice (Sigma, HW, OTTO, etc.).
• Reconcile A/R clearing account for customer refunds or overpayments on House and Arbour.

Invoice Management & Revenue Assurance

• Review aging reports to identify unpaid invoices.
• Review monthly recurring invoices for accuracy.
• Obtain revenue by resolving invoice disputes and billing discrepancies.
• Evaluate accuracy and completeness of claim submission information using revenue tracking spreadsheets.

Customer & Internal Communication

• Maintain customer relations by phone or email.
• Interface with Finance Manager and other management staff regarding billing information.
• Interface with program Managers to meet authorization requirements.
• Coordinate process improvement systems to gather data

Data Integrity & Compliance

• Keep residential rent and client information spreadsheet updated.
• Ensure integrity and confidentiality of all patient and client financial data.

Education Requirements: 

• Associate degree in business administration or accounting is preferred; can be substituted with related experience.

Work Experience Requirements: 

• Analytical and problem-solving skills, the ability to understand complex reimbursement structures and the ability to apply contractual governmental regulations to billing processes.
• Experience with Windows based software, Excel spreadsheets and other office software.
• Preferred experience with submitting electronic claims and/or accounting for property rents.
• Be self-directed and demonstrate the ability to work independently to meet deadlines.
• Ability to communicate clearly and concisely, verbally and in writing.
• Ability to work respectfully and courteously with a wide variety of individuals, including individuals with disabilities.

Travel: 

Must be willing and able to travel up to 10% for meetings, trainings and conferences.   Total travel expected to be less than 10%.  Company vehicle is not supplied; use of personal vehicle is required.   

Work Environment: 

This employee usually works in an office environment but may be required to perform job duties outside of the typical office setting.  Moderate noise (i.e. business office with computers, phone, printers, and light foot traffic).  Ability to work in a confined area.  This position works in close proximity to people.  While the majority of working time is spent indoors in a residential environment or office, employees in this position may work outdoors in all seasons for short periods of time, e.g. assisting a resident into a vehicle, taking a resident on an outing, snow removal, etc.

Physical Demands of the Job: 

Primarily sedentary work: while performing the duties of this job, the employee is regularly required to, stand, walk, sit, talk, hear, and use hands and fingers to operate a computer, telephone, keyboard, etc.  May be required to reach, stoop, or kneel to perform miscellaneous duties.  Occasional light lifting up to 10 lbs may be expected.  The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures, transcribing, viewing a computer terminal, extensive reading, and various visual inspection requirements.

EEO Statement: 

Pioneer Resources is an equal opportunity and affirmative action employer committed to diversifying its workforce.

It is Pioneer Resources' policy to provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender identity or expression, national origin, ancestry, age, disability, legally protected medical condition, genetic information, marital status, sexual orientation, protected veteran status, military status, citizenship status or any other status that is protected by law.  Pioneer Resources also does not discriminate against applicants or employees because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.

At Pioneer Resources, we believe that every employee, through their diverse abilities and experiences, can contribute to our growth, consumers, and the community we serve.  We embrace diversity and are committed to providing equal opportunity to all employees and applicants.  If you have a disability and require reasonable accommodations in the application process, call Human Resources at ; we will be happy to assist you.  We will only share your accommodation request with those individuals who have a specific need to know.  The request for an accommodation will not affect Pioneer Resources' hiring decisions.  All other submissions should be performed online.

Company Statement:

All employees are required to uphold the values of Pioneer Resources, Inc.: Integrity, Stewardship, Innovation, Excellence, and Respect and conduct themselves in a manner demonstrating LEAD (Listen, Empathy, Acknowledge and Dignity).   Further, staff are required to comply with the policies, procedures, and safety program(s) of Pioneer Resources.   All employees are required to uphold standards of CARF and practice LEAN initiatives and principles.  Employees are required to follow all state and federal laws and regulations, including but not limited to those related to recipient rights, confidentiality, and the Health Insurance Portability and Accountability Act (HIPAA).

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