Billing and Reimbursement Specialist

Kendal Crosslands Communities; Kennett Square (Chester County); On-site; USD 60,000 - 90,000; Full time

Job summary

Kendal Crosslands Communities is seeking an experienced Billing & Reimbursement Specialist to join our Finance team. This role focuses on accurate resident billing and healthcare reimbursement while modernizing our billing systems and processes.

You will manage resident billing, Medicare and third-party reimbursement, AR, and related financial activities, collaborating with Finance, Health Services, residents, and partners to ensure timely and compliant outcomes.

Qualifications

• Prior healthcare, Medicare, medical billing, reimbursement, and accounts receivable experience required.
• Experience with Medicare SNF billing, Medicare Part A and Part B, consolidated billing, claims follow-up, and third-party insurance is highly desirable.
• Familiarity with medical terminology, diagnosis/procedure coding concepts, and healthcare reimbursement.
• Strong computer skills, including Excel and electronic billing/EHR systems.
• Ability to learn new technology and adapt to evolving billing processes.
• Strong analytical, organizational, and problem-solving skills. High degree of accuracy and attention to detail.
• Ability to communicate clearly and professionally with residents, families, clinical staff, insurers, and colleagues.
• Ability to manage deadlines and competing priorities with minimal supervision.
• Demonstrated discretion and ability to maintain confidential and protected health information.

Responsibilities

• Prepare and review monthly resident billing, including recurring fees, meal-plan adjustments, credits, ancillary charges, and other resident activity.
• Respond to resident and representative questions regarding billing and account activity.
• Support Medicare billing for skilled nursing and other covered services, including claim preparation, submission, payment posting, coinsurance billing, denials, and follow-up.
• Monitor accounts receivable aging and follow up on outstanding balances and claims.
• Maintain accurate resident, payer, and insurance information (census management).
• Coordinate with Health Services and other departments to obtain information necessary for accurate and timely billing.
• Reconcile billing and accounts receivable activity to the general ledger.
• Maintain compliance with Medicare requirements, HIPAA, and KCC policies.
• Assist with Medicare cost-report information, audit schedules, budgeting, and other reimbursement-related reporting.
• Participate in implementation and optimization of KCC's resident billing, EHR, and payment systems.
• Identify opportunities to streamline and automate billing processes while maintaining strong financial controls.
• Provide back-up support within the Finance department as needed.

Skills

Medicare billing

Accounts receivable

Detail orientation

Communication skills

Analytical skills

Tools

Excel

EHR systems

PointClickCare (PCC)

Job description

Kendal~Crosslands Communities (KCC) is seeking an experienced Billing & Reimbursement Specialist to join our Finance team. This role is central to accurate resident billing and healthcare reimbursement and will help advance the modernization of our billing systems and processes.

In this role, you will manage resident billing, Medicare and other third-party reimbursement, accounts receivable, and related financial processes. The successful candidate will bring strong attention to detail, excellent communication skills, and relevant healthcare billing experience, along with the ability to collaborate effectively with Finance, Health Services, residents, and external partners.

What you'll do:

• Prepare and review monthly resident billing, including recurring fees, meal-plan adjustments, credits, ancillary charges, and other resident activity.
• Respond to resident and representative questions regarding billing and account activity.
• Support Medicare billing for skilled nursing and other covered services, including claim preparation, submission, payment posting, coinsurance billing, denials, and follow-up.
• Monitor accounts receivable aging and follow up on outstanding balances and claims.
• Maintain accurate resident, payer, and insurance information (census management).
• Coordinate with Health Services and other departments to obtain information necessary for accurate and timely billing.
• Reconcile billing and accounts receivable activity to the general ledger.
• Maintain compliance with Medicare requirements, HIPAA, and KCC policies.
• Assist with Medicare cost-report information, audit schedules, budgeting, and other reimbursement-related reporting.
• Participate in implementation and optimization of KCC's resident billing, EHR, and payment systems.
• Identify opportunities to streamline and automate billing processes while maintaining strong financial controls.
• Provide back-up support within the Finance department as needed.

What you'll bring:

• Prior healthcare, Medicare, medical billing, reimbursement, and accounts receivable experience required.
• Experience with Medicare SNF billing, Medicare Part A and Part B, consolidated billing, claims follow-up, and third-party insurance is highly desirable.
• Familiarity with medical terminology, diagnosis/procedure coding concepts, and healthcare reimbursement.
• Strong computer skills, including Excel and electronic billing/EHR systems.
• Ability to learn new technology and adapt to evolving billing processes.
• Strong analytical, organizational, and problem-solving skills.High degree of accuracy and attention to detail.
• Ability to communicate clearly and professionally with residents, families, clinical staff, insurers, and colleagues.
• Ability to manage deadlines and competing priorities with minimal supervision.
• Demonstrated discretion and ability to maintain confidential and protected health information.

Preferred experience:

• Revenue cycle experience in skilled nursing, senior living, healthcare, or a Medicare-certified provider setting.
• Experience with PointClickCare (PCC) or similar healthcare billing/EHR systems.
• Experience reconciling accounts receivable to the general ledger.

Community Location:

Located near West Chester, PA, Wilmington, DE, and Maryland, our community is nestled on 500 acres of rolling hills, green meadows, and beautiful gardens. Adjacent to famous Longwood Gardens, residents and staff enjoy the local cultural opportunities, vibrant towns, and working in an oasis in the heart of the Brandywine valley.

Join us, Learn with us, Grow with us...in a caring environment.

Equal Opportunity Employer
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