D&S Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived. Accounts Receivable Specialist – Host Home Program Location: Texas (Remote) Pay: $18.00–$20.00/hour Schedule: Monday–Friday Overview We are seeking a dependable, self-motivated Accounts Receivable Specialist to support our Texas Host Home Program. This role is primarily remote and focuses on billing, payment processing, and financial tracking. The ideal candidate is detail-oriented, comfortable working independently, and has strong computer and communication skills. Key Responsibilities - Process bi-weekly Host Home provider payments and room & board payments - Monitor leave, transfers, and discharges to ensure accurate payments - Prepare and manage monthly billing for clients - Ensure timely and accurate billing to appropriate payers - Maintain billing rate records and accounts receivable files - Post payments, adjustments, and reconcile discrepancies - Research and resolve billing and authorization issues - Track and collect outstanding balances from payers - Produce monthly AR reports and assist with year-end reporting - Prepare bank deposits, cash applications, and reconciliations - Maintain accurate documentation and support audit requirements (SOX compliance) Work Environment - Fully remote role - Must be organized and able to manage deadlines independently - Requires reliable internet and strong computer proficiency Qualifications - High school diploma or equivalent required; Associate’s or Bachelor’s in Accounting preferred - 2+ years of Accounts Receivable or related experience preferred - Strong attention to detail and organizational skills - Proficiency in computer systems and financial tracking - Strong communication and problem-solving skills - Ability to work independently and manage time effectively iJoin a team that values accuracy, accountability, and meaningful support in serving our community. Apply today. Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.

Job Title: Accounts Receivable / Accounts Payable Specialist Position Type: Full-Time, Remote Working Hours: U.S. client business hours About the Role: Our client is seeking an AR/AP Specialist to manage daily accounts receivable and accounts payable operations. This role ensures timely, accurate, and compliant transaction processing across vendors, customers, and internal accounting systems. The AR/AP Specialist is essential for maintaining smooth cash flow and financial integrity, handling everything from invoice entry to collections follow-up and reconciliation. Responsibilities: Accounts Payable (AP): - Review 20–50 vendor invoices per week for accuracy, coding, and approvals. - Enter invoices into accounting platforms (QuickBooks, NetSuite, Xero, SAP, or Oracle). - Schedule payments (ACH, wires, checks) in alignment with terms. - Reconcile vendor statements and resolve discrepancies. - Process employee reimbursements and credit card reconciliations. Accounts Receivable (AR): - Generate and send 30–100 customer invoices weekly. - Post customer payments (ACH, wire, credit card, checks) into the AR system. - Maintain and monitor AR aging reports, flagging overdue balances. - Follow up with customers on overdue accounts, negotiate payment schedules, and escalate when necessary. - Record unearned revenue and adjust deferred revenue balances as needed. Reconciliation & Reporting: - Reconcile AR and AP subledgers with the general ledger monthly. - Match cash disbursements and receipts to bank records. - Prepare weekly cash disbursement and collections reports. Compliance & Controls: - Ensure vendor/customer data is properly documented (W-9s, contracts, terms). - Adhere to SOX and GAAP/IFRS standards. - Maintain audit-ready documentation of AP/AR cycles. Collaboration: - Work with procurement on vendor set-up and terms. - Partner with sales teams to validate invoice data and resolve customer disputes. - Support month-end close with accruals and reconciliations. What Makes You a Perfect Fit: - Highly detail-oriented with low tolerance for errors. - Strong communicator, comfortable working with both vendors and customers. - Organized and efficient in managing high transaction volumes. - Able to balance speed with accuracy and compliance. Required Experience & Skills (Minimum): - 2+ years of AR/AP or bookkeeping experience. - Proficiency in accounting systems (QuickBooks, NetSuite, SAP, or Xero). - Intermediate Excel/Google Sheets (VLOOKUP, pivot tables, reconciliation templates). - Familiarity with vendor/customer payment processes. Ideal Experience & Skills: - Multi-currency AR/AP experience. - Industry exposure to SaaS, real estate, manufacturing, or professional services. - Experience in ERP migration or AP/AR automation software (Bill.com, Tipalti). - Understanding of GAAP/IFRS AP/AR treatments. What Does a Typical Day Look Like? An AR/AP Specialist’s day is defined by owning the flow of cash-related transactions and the accuracy of the ledgers that support them. You will: - Own transaction processing: Enter, code, and route vendor bills for approval; create and send customer invoices; post payments and disbursements accurately and on time. - Maintain ledger integrity: Reconcile AR/AP subledgers to the GL; match bank activity to recorded transactions; clear exceptions and resolve discrepancies quickly. - Safeguard compliance: Verify vendor and customer documentation (e.g., W-9s), apply correct terms and tax treatments, and maintain audit-ready records in line with GAAP/IFRS and internal controls. - Partner across functions: Coordinate with procurement on vendor setup and terms, with sales on invoice accuracy and disputes, and with accounting on accruals and close timelines. - Provide visibility: Keep aging schedules current, surface risks (delinquencies, disputed invoices), and deliver concise status updates and cash-movement reports to finance leadership. - Continuously improve: Identify bottlenecks, recommend automation (e.g., Bill.com/Tipalti, OCR), refine SOPs, and help shorten the month-end close. Essence of the role: ensure cash in/cash out is processed accurately, on time, and fully documented, so leadership has clear visibility and the books close cleanly. Key Metrics for Success (KPIs): - Invoices processed with <1% error rate. - AP paid within agreed terms (net 30/45/60). - AR collection cycle within target DSO. - Reconciliations completed by month-end close deadlines. - 100% compliance with documentation and audit requirements. Interview Process: - Initial Phone Screen - Video Interview with Pavago Recruiter - Practical Task (e.g., reconcile a sample AP ledger or generate AR aging report from dataset) - Client Interview - Offer & Background Verification

JOB SUMMARY The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment. Representative will need to effectively follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving accounts with minimal assistance. Representative must be able to work independently as well as work closely with management and team to take appropriate steps to resolve an account. Team member should possess the following: - Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys and team members as needed. - Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions - Access payer websites and discern pertinent data to resolve accounts - Utilize all available job aids provided for appropriateness in Patient Accounting processes - Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account - Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership - Identify and communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunities - Provide support for team members that may be absent or backlogged ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. - Researches each account using company patient accounting applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and solves re-coup issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. Maintains desk inventory to remain current without backlog while achieving productivity and quality standards. - Perform special projects and other duties as needed. Assists with special projects as assigned, documents, findings, and communicates results. - Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor. - Participate and attend meetings, training seminars and in-services to develop job knowledge. - Respond timely to emails and telephone messages as appropriate. - Ensures compliance with State and Federal Laws Regulations for Managed Care and other Third Party Payors. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies - Intermediate skill in Microsoft Office (Word, Excel) - Ability to learn hospital systems – ACE, VI Web, IMaCS, OnDemand quickly and fluently - Ability to communicate in a clear and professional manner - Must have good oral and written skills - Strong interpersonal skills - Above average analytical and critical thinking skills - Ability to make sound decisions - Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors - Familiar with terms such as HMO, PPO, IPA and Capitation and how these payors process claims. - Intermediate understanding of EOB. - Intermediate understanding of Hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms. - Ability to problem solve, prioritize duties and follow-through completely with assigned tasks. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. - High School diploma or equivalent. Some college coursework in business administration or accounting preferred - 1-4 years medical claims and/or hospital collections experience - Minimum typing requirement of 45 wpm PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Office/Team Work Environment - Ability to sit and work at a computer terminal for extended periods of time WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Call Center environment with multiple workstations in close proximity As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation - Pay: $15.80 - $23.70 per hour. Compensation depends on location, qualifications, and experience. - Position may be eligible for a signing bonus for qualified new hires, subject to employment status. - Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: - Medical, dental, vision, disability, and life insurance - Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. - 401k with up to 6% employer match - 10 paid holidays per year - Health savings accounts, healthcare & dependent flexible spending accounts - Employee Assistance program, Employee discount program - Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. - For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

• Adhere to Billing Guidelines and Policies • Knowledge of Insurance rules and guidelines, including Medicare, Medicaid and Workers-Comp • Review, Analyze Claims in Billing System and Take Necessary Steps to advance the Claim to Next Level • Identify the root cause for Rejections and Denials and escalate to appropriate team to take action • Identify the Responsible Payer Accurately and Bill / Appeal Claims • Perform timely follow-up with payer and ensure required information is gathered and documented clearly in the Billing & Work-Flow Tool • Communicate with clinic personnel and insurance to resolve the claim in a timely manner • Perform Ad-hoc Tasks assigned as Special Projects