Accounts Receivable Lead

Community Options, Inc.•Princeton, NJ

5d•$70,000

About The Position

Community Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 12 states. We are now hiring a Full-Time Accounts Receivable Lead to provide support in Princeton, NJ. The AR Lead is responsible for overseeing accurate and timely billing and collections for an assigned group of 3–4 states, serving as the primary point of accountability for billing performance, denial resolution, and revenue recovery. This hands-on role actively performs billing and collections while providing day-to-day guidance to billing staff, ensuring adherence to processes and deadlines. The AR Lead works closely with regional operations and leadership to resolve billing issues, address denials, and support a complete and accurate month-end close.

Requirements

4+ years of healthcare billing experience, including claims submission and collections
Proven experience working billing denials, rejections, and payer follow-up
Experience supporting Medicaid, managed care, or government payers
Experience working across multiple states and payer types
Strong understanding of billing workflows, month-end close, and revenue cycle processes
Ability to lead and support other billing staff in a non-manager role
Strong organizational skills with the ability to meet strict monthly deadlines
Excellent communication and problem-solving skills
High attention to detail and accountability for outcomes

Responsibilities

Own end-to-end billing completion for assigned states (typically 3–4)
Ensure all billable services for assigned states are accurately billed and recorded for the prior month by the 15th of the following month
Ensure authorizations, rates, and service details are correctly reflected on claims
Take primary ownership of all billing rejections and denials for assigned state
Actively work and oversee: Claim rejections, denied claims, underpayments, follow-up and collections activity
Partner with billing staff and regional teams to correct root causes of denials
Escalate systemic billing or payer issues with recommended solution
Provide day-to-day oversight and guidance to billing staff assigned to supported state
Serve as a point of escalation for billing staff questions or complex claims
Coach and support billers on: Proper billing procedures, denial prevention, payer-specific requirements
Support resolution of documentation, authorization, or operational issues impacting billing
Act as a liaison between billing staff and leadership for assigned states
Monitor key billing and collections metrics for assigned states, including: Billing completion status, denial and rejection rates, days in AR, collection performance
Identify risks to revenue or month-end close and proactively address them
Additional responsibilities may be assigned