Accounts Receivable/Business Development (AR) Liaison

Accounts Receivable/Business Development (AR) Liaison
Supporting our 8 Tennessee Facilities

Prestige Healthcare is looking for an experienced Accounts Receivable/Business Development Liaison to join our team to support our Tennessee facilities. We offer competitive wages and are committed to fostering a workplace where growth, teamwork, and patient-centered care are at the forefront.

Qualified candidates will have experience with Skilled Nursing Facility Accounts Receivable billing and collections processes and procedures, Tennessee Medicaid eligibility requirements and electronic referral management platforms. Approximately 25% travel will be required.

Key Benefit Package Options?

• Medical Benefits: Affordable medical insurance options through Anthem Blue Cross Blue Shield.
• Additional Healthcare Benefits: Dental, vision, and prescription drug insurance options via leading insurance providers.
• Flexible Pay Options: Get paid daily, weekly, or bi-weekly through UKG Wallet.
• Benefits Concierge: Internal company assistance in understanding and utilizing your benefit options.
• Pet Insurance: Three options available.
• Education Assistance: Tuition reimbursement and student loan repayment options.
• Retirement Savings with 401K.
• HSA and FSA options
• Unlimited Referral Bonuses.

Start a rewarding and stable career with Prestige Healthcare today!

Summary: The Business Development / Accounts Receivable (AR) Liaison serves as a strategic support role within the centralized admissions model, acting as the bridge between Business Development, Operations, Admissions, and Financial Services to proactively reduce front-end financial risk while supporting census growth and reimbursement optimization.

This role is responsible for evaluating the fiscal appropriateness of pending admissions through verification of payer coverage, authorization requirements, reimbursement structure, and financial risk indicators prior to admission approval. The AR Liaison supports operational decision-making by identifying potential barriers related to eligibility, coverage, high-cost services, and reimbursement concerns while maintaining efficient referral conversion timelines.

This position provides guidance and financial review support to Business Development and Operations teams; however, Operations remains the final decision maker on all admissions.

Qualifications:

Education:

• Associate or Bachelor’s degree in Healthcare Administration, Business, Finance, or related field preferred.

Experience:

• Minimum four (4) years of experience in Tennessee skilled nursing, post-acute care, admissions, managed care, case management, accounts receivable, or business development required.
• Knowledge of post-acute reimbursement models, payer structures, and insurance eligibility processes required.
• Experience with PCC, referral management platforms, and AR automation tools preferred.
• Strong analytical, organizational, communication, and problem-solving skills required.
• Advanced proficiency in Microsoft Excel and reporting tools preferred.

Job Functions:

• Review pending referrals and admissions for financial appropriateness and reimbursement viability prior to admission.
• Validate payer source, eligibility, authorization requirements, hospital qualifying inpatient stay, benefit coverage, and reimbursement structure.
• Identify and proactively communicate and/or resolve financial “red and yellow flags” that may increase risk for denials, bad debt, or reimbursement barriers.
• Collaborate with Business Development, Operations, Admissions, and Accounts Receivable teams to support financially responsible census growth.
• Ensure financial documentation is obtained prior to admission approval whenever possible.
• Validate completion of required pre-admission items including PAE, PASSR, eligibility verification, pending Medicaid eligibility validation and authorization requirements.
• Support negotiation and review of Single Case Agreements (SCAs) alongside Business Development and Contracting teams.
• Assess financial risk related to high-cost medications, specialty services, ventilator care, dialysis, or clinically complex patient needs.
• Assist in developing workflows, reporting, and processes that improve reimbursement review, reduce DSO, and mitigate controllable bad debt.
• Serve as a resource for payer education, reimbursement models, and insurance coverage training for admissions and business development teams.
• Utilize PCC and related systems to document findings, communicate barriers, and support reporting initiatives.
• Maintain knowledge of Medicare, Medicare Advantage, Managed Medicaid, Commercial Insurance, and post-acute reimbursement models.

Knowledge/Skills/Abilities:

• Strong knowledge of Medicare, Medicare Advantage, Managed Medicaid, Medicaid pending, Commercial Insurance, and post-acute reimbursement models.
• Understanding of insurance verification, authorization processes, payer eligibility requirements, and admission financial review workflows.
• Knowledge of skilled nursing facility operations, admissions processes, and reimbursement optimization strategies.
• Ability to identify financial risk indicators including authorization barriers, coverage limitations, high-cost medications, and clinically complex reimbursement concerns.
• Strong analytical and critical thinking skills with the ability to assess financial appropriateness and make recommendations based on available data.
• Excellent communication and interpersonal skills with the ability to collaborate effectively across Business Development, Operations, Admissions, Case Management, and Financial Services teams.
• Ability to manage multiple priorities in a fast-paced operational environment while maintaining timely referral review and turnaround expectations.
• Strong organizational skills with attention to detail and accuracy in documentation and financial review processes.
• Ability to interpret financial, payer, and reimbursement data to support operational and strategic decision-making.
• Proficiency with PointClickCare (PCC), referral management platforms, Microsoft Excel, and other healthcare operational systems.
• Ability to maintain professionalism, confidentiality, and sound judgment when handling sensitive financial and patient information.
• Ability to educate and support team members regarding reimbursement models, payer requirements, and financial risk mitigation strategies.