Billing & Reimbursement Specialist

AQORD; Kennett Square (Chester County); On-site; USD 55,000 - 75,000; Full time

Job summary

Kendal Crosslands Communities (KCC) is seeking a Billing & Reimbursement Specialist to join our Finance team. This role focuses on resident accounts receivable and Medicare reimbursement while helping modernize billing systems and processes.

The successful candidate will work with Finance, Health Services, residents, and partners to ensure accurate billing, timely reimbursements, and strict HIPAA compliance. Experience with Medicare billing and EHR systems is highly valued.

Qualifications

• Experience with Medicare billing for SNF, Part A and Part B, and third-party insurance preferred.
• Strong knowledge of medical terminology and healthcare reimbursement.
• Proficient in Excel and electronic billing/EHR systems; ability to learn new technology.

Responsibilities

• Prepare and review monthly resident billing, including fees, meals, credits, and charges.
• Respond to questions regarding billing and account activity.
• Support Medicare billing, including claim prep, submission, and follow-up.
• Monitor AR aging and follow up on balances and claims.
• Maintain census, payer, and insurance information, and reconcile to GL.
• Ensure HIPAA compliance and adherence to KCC policies.
• Assist with reimbursement reporting and system optimization.

Skills

Healthcare billing

Excel

EHR systems

Attention to detail

Communication skills

Analytical skills

Tools

PointClickCare

Billing software

Job description

Billing & Reimbursement Specialist

Kendal~Crosslands Communities (KCC) is seeking an experienced Billing & Reimbursement Specialist to join our Finance team. This position plays an important role in both resident accounts receivable and healthcare reimbursement and will support KCC as we modernize our billing systems and processes.

The successful candidate will work with resident billing, Medicare and other third-party reimbursement, accounts receivable, and related financial processes. We are seeking someone with strong attention to detail, excellent communication skills, and experience with Medicare or healthcare billing who can work collaboratively with Finance, Health Services, residents, and outside partners.

Key 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.

Qualifications

• Prior healthcare, Medicare, medical billing, reimbursement, or accounts receivable experience strongly preferred.
• 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 qualifications

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