Your browser is out-of-date!

Update your browser to view this website correctly. Update my browser now


Job Title Director of Accounts Receivable
Location Southfield, MI
Department Administration
Shifts hiring Full-time, Days


The Director of Accounts Receivable directs accounts receivable activities to maximize reimbursements. Ensures accurate, timely billing and collection. Develops collection strategies and implements plans to ensure accounts receivable balances are within stated objectives.



  • A Bachelor’s Degree in Accounting, Finance, Business, Healthcare Administration, or other related field preferred with a required minimum of three years of experience in skilled nursing facility accounting leadership.  Substantial experience will be considered in lieu of a degree.
  • Possesses in depth knowledge of the industry-specific functions of accounts receivable including system management, billing, and collections within long term care.
  • Current knowledge of State of Michigan, federal and third-party insurers.
  • A comprehensive understanding of government eligibility programs including the Medicaid Application process and Medicare’s Health Insurance Query Access (HIQA)
  • Possesses strong interpersonal skills to effectively communicate with supervisors, team members and vendors.
  • Strong organizational, multi-tasking, and management skills to effectively manage the outcomes of this position as well as the outcomes of others in an environment of accountability.
  • Effective user of technology, including personal computer and software applications.  Examples include Microsoft Office, billing and accounting software and electronic medical records. Proficiency in Point Click Care is highly preferred.


Supervisor: Chief Financial Officer


Supervisory Responsibilities:  Corporate billing staff and regional business office managers


Essential Functions and Responsibilities

To perform this job successfully, an individual must be able to perform each key function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions.



The Director of Accounts Receivable will be responsible for maintaining the following:

  • Lead and manage the billing of all government contracts, advising billing staff and regional business office managers on the day-to-day implementation and interpretation of changes to ensure that all policies and procedures meet compliance.
  • Interacts with business office, admissions staff, and administrators to improve facility level processes and procedures to achieve overall company accounts receivable goals.
  • Review referrals, as needed, to assist in making admission decisions; assists in negotiating terms for contracting; and reviews payer contracts for proper billing to achieve accurate revenue recognition.
  • Work closely with the Admissions department and insurance companies to review benefits for inpatient skilled nursing home. Assist with daily follow up with insurance companies, as needed.
  • Works closely with facilities and rehabilitation companies in response to Additional Documentation Requests.
  • Directly manage escalated account issues concerning patient and insurance balances, insurance changes, patient information updates, refiling insurance information, and family communications in an efficient and timely manner.
  • Monitors accounts sent for collection and reimbursements from insurance companies and other third-party payors. Reviews, monitors, and evaluates third party reimbursement compliance and research variances.
  • Coordinates and closely monitors month-end close by assuring compliance, standardization and timely, accurate data entry.
  • Company liaison to state, federal and third-party payers on complex receivable issues.
  • Oversees the management of patient trust monthly to assure facilities are reconciling accounts and applying interest properly.
  • Monitors cash logs and follows up with facilities if private collections do not meet expectations.
  • Monitors accurate posting of cash receipts. Monitors and manages cash in transit and aged accounts receivable. Recommends and implements solutions to minimize cash in transit and aged accounts receivable.
  • Provides company and facility leadership with updates on accounts receivables. Assists in developing facility-specific plan of correction, as needed.
  • Participates in company leadership meetings at the facility, regional and divisional level and ensures proactive and effective communications with management.
  • Continually assesses operational efficiencies and implements continuous improvement processes. Works with internal business partners on reimbursement issues.
  • Maintains knowledge of current regulations, policies and procedures of state, federal and third-party reimbursement programs and assists staff in interpreting and applying technical and business requirements.
  • Ensures appropriate staff development, training and succession planning. Evaluates staff performance, and responsible for department hiring, terminations, promotions and salary actions.
  • Responsibility for completing certain external reports for third parties.
  • Responsible for monthly and ad hoc reporting to CFO, Director of Operations, and Director of Reimbursement including performance metrics.
  • Partners with senior leadership, and regional directors in addressing billing issues and/or areas for improvement.
  • Develop a working knowledge of all emergency and disaster procedures of the facility.
  • Willingness to perform other duties as assigned.


LEADERSHIP:  demonstrates willingness to take risks, generates new ideas for change; evaluates and recognizes priorities, select effective team members, challenges others to learn, keeps current and integrates new information, communicates and models organization values, fosters high performance, recognizes need for and provides adequate resources.


PROCESS IMPROVEMENT:  Applies PI principles, tools, and techniques; assists in data collections; identifies processes for improvement in daily work; educates new staff in team process.


INTERPERSONAL SKILLS:  Demonstrates active listening techniques; gains support through effective relationships; treats others with dignity and respect; seeks feedback; sets clear standards for performance; evaluates job performance and provides effective feedback; establishes systems to measure effectiveness, efficiency, and service; creates and maintains reporting mechanisms.


CONTINUING EDUCATION:  Attends in-service and education programs; attends continuing education required for maintenance of professional certification or licensure.


PHYSICAL DEMANDS:  The physical demands described here are representative those that must be met by an employee to successfully perform the essential functions of the job.  While performing the duties of this job, the employee is frequently required to stand and walk.  The employee is occasionally required to sit for long periods of time completing work on the computer; reach with hands and arms; and talk or hear.  Occasional physical effort with light to medium objects.  Occasional required to lift objects of 10 to 25 pounds.  Specific vision abilities required by this job include close vision, distance vision, and peripheral vision.

WORK ENVIRONMENT:  The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  The noise level in the work environment is usually moderate.


Privacy Policy Terms of Use

OnShift Employ ©2021 powered by OnShift