Description
Accounts Receivable Specialist
Neighborhood LTC Pharmacy, Inc. (NRx)
Position SummaryWe are hiring an Accounts Receivable Specialist to own day-to-day AR operations across our pharmacy and payment systems: posting payments, reconciling insurance, managing statements and aging, and following up on past-due accounts. The role also carries a reporting component: turning that transactional activity into aging, DSO, payor-mix, and collection/denial reporting. It's a strong fit for someone meticulous with reconciliations and comfortable in Excel, who takes pride in receivables that are clean, current, and audit-ready.
Position DetailsCompany: Neighborhood LTC Pharmacy, Inc. (NRx)
Department: Finance: Accounts Receivable
Reports to: Finance Manager
Works closely with: Accounts Payable/Bookkeeper, and pharmacy operations across all locations
Location: On-site
Status: Full-time / Hourly
Compensation: $50K - $60K
Key ResponsibilitiesAccounts Receivable — Daily Operations• Post incoming patient and payor payments and reconcile them to the pharmacy system; keep the pharmacy system and payment platforms in sync.
• Respond to customer and facility inquiries regarding balances, statements, and payment status.
• Perform daily insurance reconciliation and produce daily payment reconciliation reports.
• Set up and maintain new-patient payment enrollments submitted.
• Verify and process medical-expense and refund requests (patient and payor overpayments).
Accounts Receivable — Cycle & Period Close• Process, submit, and email monthly patient statements.
• Prepare and analyze patient and third-party (insurance) aging reports.
• Follow up on past-due accounts via collections calls and emails; document activity.
• Perform post-verification review of posted payments for accuracy.
• Code money-in transactions and close the AR sub-ledger each period.
• Support month-end close by ensuring AR activity is complete, tied out, and reconciled to the GL.
Payor & Dispute Management• Resolve and escalate denied or underpaid claims with payors.
• Track denial and collection performance and surface recurring issues.
Analysis & Reporting• Produce monthly AR metrics packages for finance leadership: aging, DSO, collection rate, denial rate, and payor mix.
• Build ad hoc reporting on demand —payor-performance views and cash-forecasting inputs.
• Support external audit: AR confirmations, aging tie-outs, and allowance-methodology review.
• Assist with cash-flow forecasting and working-capital analysis across locations.
• Support budget vs. actual and variance analysis for receivables and related revenue metrics.
• Help evaluate and roll out AR process and system improvements, including new tooling and workflow changes.
Requirements
Qualifications
Required
• Associate's or Bachelor's degree in Accounting, Finance, or a related field, or equivalent relevant experience.
• 2+ years in accounts receivable, billing, or a comparable accounting role.
• Solid grasp of the AR lifecycle: cash application, aging, collections, reconciliations, and period close.
• Proficiency in Excel (lookups, pivot tables, clean formula-driven worksheets).
• High accuracy, strong reconciliation discipline, and comfort handling confidential patient/payment data.
• Clear written and verbal communication for internal teams, customers, and payors.
Preferred
• Experience in pharmacy, healthcare, or LTC/specialty billing environments.
• Familiarity with insurance/third-party reconciliation and payor denial/dispute workflows.
• Exposure to QuickBooks Online and multi-location/multi-entity accounting.
• Analytical exposure: DSO analysis, payor-mix reporting, or cash forecasting.
• Awareness of HIPAA/PHI handling requirements when transmitting patient and payment data.
Core Competencies• Detail-oriented and audit-minded — builds traceable, reconcilable work.
• Organized under recurring daily/monthly deadlines.
• Analytical mindset: turns transactional data into decision-useful reporting.
• Collaborative across finance, operations, and multiple pharmacy locations.
• Discreet and trustworthy with sensitive financial and patient information.
Skills Required
- Associate's or Bachelor's degree in Accounting, Finance, or a related field, or equivalent relevant experience
- 2+ years of experience in accounts receivable, billing, or a comparable accounting role
- Understanding of the accounts receivable lifecycle, including cash application, aging, collections, reconciliations, and period close
- Proficiency in Excel, including lookups, pivot tables, and formula-driven worksheets
- High accuracy, strong reconciliation discipline, and ability to handle confidential patient and payment data
- Clear written and verbal communication with internal teams, customers, and payors
- Experience in pharmacy, healthcare, or LTC/specialty billing environments
- Familiarity with insurance or third-party reconciliation and payor denial/dispute workflows
- Exposure to QuickBooks Online and multi-location or multi-entity accounting
- Analytical experience with DSO analysis, payor-mix reporting, or cash forecasting
- Awareness of HIPAA/PHI handling requirements when transmitting patient and payment data
What We Do
Neighborhood LTC Pharmacy is a mission-driven, 100% employee-owned long-term care pharmacy headquartered in Lincoln, Nebraska. It specializes in providing boutique-style, person-centered medication support and compliance packaging specifically for individuals with intellectual and developmental disabilities (IDD). The company focuses on empowering patients and care teams through customized packaging, 24/7 pharmacist access, and proactive consultation to enhance healthcare outcomes.
