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Accounts Receivable Specialist - Medicare

Department: Finance
Location: York, PA

SpiriTrust Lutheran® serves five counties in southcentral Pennsylvania by providing residential living, assisted living, personal care, memory support and nursing and rehabilitation services in six life plan communities along with home care, in-home support, hospice services and palliative care. Our communities rank amongst the best, earning the award for “Best Senior Living” by U.S. News & World Report.

Our commitment to creating a positive and fulfilling work environment is grounded in our mission, values, and culture of considerate behavior core tenets. We are excited to invite you to apply and discover the many opportunities available to join the SpiriTrust Lutheran team. Come be a part of our team and ‘catch the spirit’ as you experience the rewards of working with our team!

SpiriTrust Lutheran is now hiring a Full Time Accounts Receivable Specialist - Medicare at HOC Corporate Office in York, PA.

Education/Training: Associates degree in Accounting or business related field normally required or high school diploma or GED with five (5) years’ related experience.

Skill(s): Speak and understand English; proficient reading, writing, grammar, mathematics and analytical skills; proficient interpersonal relations and communication skills; proficient PC skills; thorough knowledge of common business software; through knowledge of accounting principles and procedures; valid driver’s license.

Experience: A minimum of three (3) years’ experience in related positions required with Associates degree. Five (5) years’ experience with a high school diploma or GED required.

Essential Duties

Coordinates, maintains, and organizes the Program’s accounts receivable function as follows:

  • Implements and adheres to financial standards specific to the Program.

  • Periodically updates operational procedures governing the day-to-day operations of the department.

  • Ensures the Program’s accounts receivable/cash receipts functions are completed utilizing the collections standards of practice.

  • Ensures timely completion of billing and month-end close processes for all payors as assigned.

  • Identifies and resolves accounts receivable problems in coordination with Corporate Director of Account Receivable /Reimbursement.

  • Ensures the department is in compliance with all regulatory requirements; takes appropriate actions to respond to and correct any deficiencies resulting from regulatory reviews or audits.

Performs a variety of duties to manage other business functions as follows:

  • Communicates with resident, families, powers of attorney, trust officers, Program staff, and other individuals regarding financial and benefits issues.

  • Educates residents, families, power of attorney, trust officers, Program staff, and other individuals regarding financial and benefits issues.

  • If applicable, manages application process with external agencies such as County Assistance Office, coordinates input from various sources, including the Program’s Nursing Department, and those individuals who represent the resident to secure benefits from the entitlement program on a timely basis.

  • Manages the financial aspects to secure reimbursement from other payor sources, determines appropriateness of entitlement benefits.

  • If applicable, ensures monthly Medicare triple check is conducted according to established standard of practice

  • At least weekly, follow up on the status of assigned aging categories and determine the collection efforts needed and follow through with executing the plan for collection.

  • Communicates with Assistant Accounting Coordinator to insure timely submission and follow up of co-insurance claims.

  • Ensures insurance claims are billed monthly and reflect correct reimbursement rates as assigned.

  • Bills and follows up on the status of claims using the appropriate third-party software systems available.

  • Coordinates and tracks collection assistance with external collection agencies as deemed appropriate.

  • Prepares for and participates in monthly accounts receivable reviews with Supervisor and Senior Management (as necessary).

SpiriTrust Lutheran is an Equal Opportunity Employer

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