Billing Specialist

Catholic Eldercare; Minneapolis, Northern (MN, KY); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Healthcare

Dental & Vision

Hybrid work

Life insurance

Long-Term disability

Job summary

Catholic Eldercare is seeking a Billing Specialist to manage private-pay and Medicaid billing, ensure accurate monthly invoicing, and maintain resident accounts receivable. You will work closely with residents, families, and the business office in a compassionate environment.

Role requires 2-3 years billing experience, proficiency with billing software and EHR, and strong communication skills. Hybrid work setup offered in Minnesota with on-site support as needed.

Qualifications

• High School Diploma required.
• 2-3 years of billing or accounts receivable experience, preferably in a skilled nursing facility.
• Proficiency with billing software and EHR systems.
• Strong organizational and time-management skills.
• Excellent attention to detail and accuracy.
• Clear communication and empathy when interacting with residents and families.
• Knowledge of HIPAA and payer guidelines.

Responsibilities

• Generate and distribute accurate monthly private pay and resident resource statements for room, board, and services.
• Process payments from checks, automatic withdrawals, or EFT and post to resident accounts.
• Monitor aging reports for private pay accounts and escalate issues to the Controller.
• Communicate empathetically with residents and families about past-due balances and payment plans.
• Serve as primary contact for billing inquiries from residents’ families.
• Coordinate with social services on financial status changes (private pay to Medicaid).
• Partner with third-party biller on insurance verification, authorizations, denials, and payments.

Skills

Attention to detail

Customer service

Empathy

Communication skills

Organization

Multitasking

Education

High School Diploma

Associate’s degree or higher in accounting/healthcare administration

Tools

Billing software

EHR systems

Microsoft Office

Job description

Overview

Catholic Eldercare is seeking a detail-oriented, compassionate, and experienced Billing Specialist to join our team. In this role, you will focus primarily on managing private pay (self-pay) and resident resource (Medicaid) revenue cycle, ensuring accurate monthly invoicing, tracking resident accounts receivable, and coordinating closely with residents and their families. The ideal candidate possesses a strong background in healthcare paired with exceptional customer service and empathy.

The Billing Specialist reports to the Controller and is a part of the Business Office. This position works in office 5 days per week, with the ability to work in office 3-4 days per week after a training period.

This role offers a unique opportunity to work on a small team and be involved in a broad range of responsibilities in the business office, including interacting with residents and families.

Responsibilities

The Billing Specialist will:

• Generate and distribute accurate monthly private pay and resident resource statements for room and board, and ancillary care services in a timely manner.


• Process payments for private pay and all other payers received via check, automatic withdrawal or EFT, and post to resident accounts in billing software.


• Monitor aging reports specifically for private pay accounts to identify overdue balances and delinquent accounts. Escalating severe, delinquent accounts or collections challenges to the Controller.


• Communicate empathetically yet firmly with residents, families or responsible parties regarding past-due balances and payment expectations. Assist in setting up structured and realistic payment arrangements when necessary.


• Serve as the primary point of contact for resident families regarding billing inquiries, statement clarifications and other questions.


• Work closely and coordinate with social services regarding changes in financial status, such as transitions from private pay to Medicaid or other matters involving billing.


• Partner with the third-party biller on matters related to insurance verification, authorizations and denials as well as insurance payment application.


• Elderly Waiver Billing for Housing communities – work with the Executive Directors to submit claims, obtain necessary authorizations, investigate and resolve denied or rejected claims.


• Record Keeping and Reporting – Maintain accurate records of billing information, resident data, and financial transactions.


• Prepare routine aging reports, collections summaries and other reporting for leadership.


• Compliance and Regulatory Adherence – Ensure compliance with all relevant billing regulations, including HIPAA and payer-specific guidelines.


• Communication and Customer Service – Effectively communicate with insurance companies, residents and their families, and other stakeholders regarding billing inquiries and issues.

Qualifications

REQUIRED QUALIFICATIONS:

• High School Diploma


• 2-3 years of billing or accounts receivable experience, preferably within a skilled nursing facility


• Technical Skills: Proficiency in using billing software, electronic health record (EHR) systems, Microsoft Office applications (Word, Excel, Teams) and other relevant tools.


• Organizational Skills: Ability to manage multiple tasks/projects, prioritize effectively and meet deadlines.


• Attention to detail: Accuracy in data entry, coding and claim preparation.


• Critical Thinking Skills: Ability to identify and resolve billing discrepancies and denials.


• Communication Skills: Exceptional communication and active listening skills, with a high degree of tact, patience, and empathy when dealing with residents and families.


• Work as a team member and adapt to changes in work assignments to meet resident and/or staffing needs.


• Regulatory Knowledge: Solic understanding of HIPAA compliance

PREFERRED QUALIFICATIONS

• Associate’s degree or higher in accounting, finance or healthcare administration preferred.


• Skilled Nursing billing experience highly preferred.


• Detailed knowledge of Medicare, Medicaid and third-party reimbursement policies preferred.


• MatrixCare experience preferred.

SKILLS AND ABILITIES

• Ability to manage multiple tasks/projects, prioritize effectively, and meet deadlines.


• Attention to detail with high degree of accuracy in data entry, coding, and claim preparation.


• Critical thinking skills that include ability to identify and resolve billing discrepancies, denials, and other errors.


• Demonstrated ability to effectively communicate in written, electronic, online, and in-person interactions with varied stakeholders, including, but not limited to, insurance companies, residents, families, and other staff.


• Flexibility to adjust workload based on the needs of a collaborative team.

WORK ENVIRONMENT

The noise level in the work environment is usually quiet.

The employee works in resident living areas subject to frequent interruptions.

Exposure to Infectious Diseases is mitigated by the proper use of PPE.

The employee will interact with coworkers and residents from varying socioeconomic, ethnic, cultural, and educational backgrounds.

Compensation: $45,000-$65,000 per year, non-exempt, depending on qualifications. 40 hours per week, Monday-Friday, during business hours. May require additional hours during month-end or other peak times. In-person or hybrid work possible (1-2 days remote, 3-4 days on-site, after training). Hybrid employees must reside in MN.

Benefit eligible with healthcare, dental, vision, short-term disability, and optional coverages. Employer-paid basic life and Long-Term disability.

Catholic Eldercare is an equal opportunity employer. All applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.