Accounts Receivable Billing Specialist

Extended Care LLC; Chicago (IL); On-site; USD 70,000 - 80,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid vacation

Sick leave

401(k)

Growth opportunities

Job summary

Extended Care LLC in Chicago, IL seeks an Accounts Receivable / Billing Specialist with hands-on SNF/LTC billing experience, including Medicare and Medicaid. You will manage the AR cycle, submit claims, and pursue timely reimbursements while ensuring regulatory compliance.

The ideal candidate will have strong analytical and communication skills, be proficient in healthcare billing software, and able to collaborate with facility admins and corporate finance teams to maximize collections.

Qualifications

• Minimum 2 years AR and billing in a SNF/LTC environment.

Responsibilities

• Process and submit claims for Medicare, Medicaid, managed care, and private payers.
• Manage full AR cycle for SNF/LTC residents.
• Monitor AR aging and pursue outstanding balances and denials.
• Investigate, appeal, and resolve denied or underpaid claims.
• Post payments, adjustments, and reconcile resident accounts.
• Communicate with insurers, residents, families about billing.
• Ensure compliance with billing regulations.
• Prepare AR aging, collections, and reimbursement trend reports.

Skills

AR aging

Collections

Medicare/Medicaid billing

SNF/LTC billing

Analytical skills

Communication skills

Multitasking

Tools

PointClickCare

MatrixCare

EMR software

Excel

Job description

Accounts Receivable / Billing Specialist
Industry: Skilled Nursing Facilities / Long-Term Care (Healthcare)

Position Overview

We are seeking a detail-oriented and experienced Accounts Receivable / Billing Specialist to join our team supporting Skilled Nursing Facilities in the Chicago, IL area. The ideal candidate must have hands-on long-term care billing experience, including Medicare and Medicaid billing, along with strong accounts receivable management skills. This role is responsible for ensuring accurate billing, timely reimbursement, effective collections, and compliance with all applicable regulations.

Key Responsibilities

• Process, review, and submit claims for Medicare, Medicaid, managed care, and private insurance payers.

• Manage the full accounts receivable cycle for skilled nursing and long-term care residents.

• Monitor AR aging reports and aggressively follow up on outstanding balances and unpaid claims.

• Investigate, appeal, and resolve denied, rejected, or underpaid claims.

• Post payments, contractual adjustments, and other transactions accurately and timely.

• Reconcile resident accounts and maintain accurate financial records.

• Communicate with insurance companies, residents, family members, and responsible parties regarding billing inquiries and payment issues.

• Ensure compliance with federal, state, and payer-specific billing regulations.

• Collaborate with facility administrators, business office managers, and corporate finance teams to maximize collections and reimbursement.

• Prepare and analyze reports related to AR aging, collections, denials, and reimbursement trends.

Required Qualifications

• Minimum 2 years of Accounts Receivable and billing experience in a Skilled Nursing Facility (SNF) or Long-Term Care (LTC) environment.

• Required: Direct experience with Long-Term Care billing, including Medicare Part A, Medicare Part B, and Medicaid billing and reimbursement processes.

• Strong understanding of managed care and private insurance billing within the SNF/LTC setting.

• Proven experience managing AR aging, collections, claim follow-up, and denial resolution.

• Experience using healthcare billing software and electronic medical record (EMR) systems.

• Proficiency in Microsoft Office, particularly Excel and Word.

• Excellent analytical, organizational, and communication skills.

• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

Preferred Qualifications

• Experience with PointClickCare, MatrixCare, or other long-term care billing systems.

• Understanding of PDPM reimbursement methodology.

• Experience supporting multiple facilities or a multi-site healthcare organization.

• Knowledge of Illinois Medicaid billing and reimbursement regulations.

Compensation & Benefits

• Annual salary $70,000 -$80,000 based on experience

• Health, dental, and vision insurance.

• Paid vacation, sick, and holidays.

• 401(k) retirement plan.

• Opportunities for professional growth and advancement.

Important: Candidates must have prior Long-Term Care billing experience with Medicare and Medicaid. Applicants without SNF/LTC billing experience will not be considered.