Medical Billing Specialist | Retirement Community

Wesley Des Moines; Des Moines (WA); On-site; USD 41,000 - 59,000; Full time

Benefits offered by this job

Health insurance

Dental and vision coverage

403(b) retirement plan with company/3%

On-demand pay / Dayforce Wallet

Employee assistance program

Paid time off and holidays

Employee discounts

Job summary

Wesley Des Moines is seeking a detail-oriented Billing Specialist II to oversee billing for our retirement community’s independent living, assisted living, and memory care services. You will manage statements, claims, AR, and resident accounts while ensuring HIPAA compliance and accurate financial records.

Ideal candidates have healthcare billing experience in senior living, knowledge of Medicare/Medicaid, and proficiency with Point Click Care and EMR systems.

Qualifications

• Associate's degree or equivalent work experience required.
• Minimum 2 years of healthcare billing experience in senior living/long-term care.
• Proficient with billing software (Point Click Care) and EMR, MS Office.
• Ability to identify PHI and adhere to HIPAA and secure file transfer.
• Strong knowledge of Medicare/Medicaid and private insurance billing; state regulations for WA.
• Excellent verbal and written communication; high accuracy and attention to detail.
• Certification in medical billing/coding preferred (e.g., CPB).
• Experience with Medicaid billing specific to Washington State.
• Familiar with financial operations of a retirement community.

Responsibilities

• Billing Operations: prepare, review, and submit resident billing statements across care levels.
• Insurance Claims Management: file and follow up on Medicare, Medicaid, MCOs, and private insurers.
• Accounts Receivable: monitor and collect on outstanding balances.
• Resident Account Management: maintain updated billing data and adjustments.
• Compliance and Reporting: ensure HIPAA compliance and assist in financial reports/audits as needed.
• Collaboration: work with finance, nursing, and admin to resolve account issues.
• Perform other duties as assigned.

Education

Associate's degree in Accounting, Finance, Healthcare Administration, or related field

Tools

Point Click Care

EMR

Microsoft Office

Job description

We understand that finding a place to belong is important. At Wesley, we care about your development, we are committed to continuous improvement, and we all grow together.

Wesley is a place where your energy and enthusiasm are welcome and your talents are developed. A place where you feel recognized, valued and rewarded. A place where you can dedicate yourself to caring for others, knowing that you are part of an organization that is equally dedicated to caring for you and your career.

Our Total Rewards philosophy takes a balanced approach, designed to support employees at every stage of their career journey. We review our offerings annually to ensure they remain meaningful. In addition to competitive wages and a commitment to pay equity, we offer the following benefits and other compensation:

Health & Insurance Benefits

• Employees, and their families if elected, can participate in medical insurance (full time and ACA eligible), dental (full time), vision (full time) and group life (employee only coverage - full time)

Time Off & Holidays

• We offer a combined paid time off (PTO) policy which incorporates state paid sick leave with company paid time off at an accrual rate of 0.0607 per hour worked, equivalent to 120 hours of PTO at 2,080 hours worked in a year. The PTO accrual rate increases after two years of service and again after five years of service
• We offer 6 Paid Holidays (8 hours - full time, 6 hours - part-time per event, excluding on‑call staff) and 1 Personal Holiday of Choice per year (excluding on‑call staff)

Retirement & Financial Well-Being

• Retirement planning is encouraged through our 403(b) plan that includes a generous 100% company match on the first 4% of earnings an employee contributes. There is a 5-year vesting schedule for the company match, and minors are ineligible for the company match
• Gain access to your net earnings when you need it with on-demand pay through Dayforce Wallet

Perks & Wellness

• To assist employees with challenges outside of the workplace, Wesley offers an Employee Assistance Program (EAP), which is 100% company paid. Additionally, Wesley Community Foundation provides grants to qualifying employees for both emergency assistance and educational advancement
• A food and beverage discount of 50% is available to all employees at any Wesley bistro and marketplace

Recognition That Matters

• The efforts and contributions of our valued employees are celebrated on our best-in-class recognition and reward platform, Inspire. Points earned for assorted reasons may be redeemed for a variety of merchandise, gift cards, cash cards, tickets, travel and other experiences selected by the employee

Wesley is two‑time winner of the LeadingAge Washington Excellence in the Workplace Award.

This summary is intended to reflect the most reasonable and genuinely expected offering of benefits and other compensation for the posted job. The official website for all Wesley job postings is https://wesleychoice.org/careers/. Wesley is not responsible for content on third‑party job boards. Salary ranges, benefits and other compensation are subject to change.

Enrich the lives of older adults through community, choice, and continuing care in the Billing Specialist II role.

We are seeking a detail‑oriented and experienced Billing Specialist to manage and oversee the billing processes for a key segment of our retirement community. This role is pivotal in ensuring accurate and timely billing for a range of services, including independent living and assisted living memory care. The ideal candidate will have a strong background in healthcare billing, particularly within senior living or long‑term care settings, and a thorough understanding of Medicare, Medicaid, and private insurance billing procedures. Find your sense of belonging at Wesley!

You will provide continuing care through these responsibilities

• Billing Operations: Prepare, review, and submit accurate billing statements for residents across different levels of care, ensuring compliance with federal and state regulations
• Insurance Claims Management: Handle the submission and follow‑up of claims to Medicare, Medicaid, Managed Care Organizations (MCOs), and private insurers, addressing denials and discrepancies promptly
• Accounts Receivable: Monitor and manage accounts receivable, ensuring timely collection of outstanding balances and maintaining accurate records
• Resident Account Management: Maintain up-to-date resident billing information, including charges for services, payments, adjustments, and refunds
• Compliance and Reporting: Ensure adherence to HIPAA and other regulatory requirements, and assist in the preparation of financial reports and audits as needed
• Collaboration: Work closely with the finance team, nursing staff, and administrative personnel to coordinate billing activities and resolve any issues related to resident accounts
• Perform other duties as assigned

Our requirements and qualifications for success

• Associate's degree in Accounting, Finance, Healthcare Administration, a related field or equivalent work experience; Bachelor's degree preferred
• Minimum of 2 years of experience in healthcare billing, with a focus on senior living or long‑term care facilities
• Proficiency in billing software systems (e.g., Point Click Care), electronic medical records (EMR), and Microsoft Office Suite
• Ability to identify PHI and HIPAA and safeguard transmission of such information via secure file transfer system
• Strong understanding of Medicare, Medicaid, and private insurance billing procedures, as well as state‑specific regulations in Washington
• Excellent verbal and written communication skills, with the ability to interact effectively with residents, families, and team members
• High level of accuracy and attention to detail, with the ability to manage multiple tasks and meet deadlines
• Certification in medical billing or coding preferred (e.g., Certified Professional Biller - CPB)
• Experience with Medicaid billing specific to Washington State
• Familiarity with the financial operations of a retirement community

Physical, environmental, and mental requirements

• Giving full attention to what other people are saying, taking time to understand points being made, asking questions as appropriate
• Near and far vision acuity
• Position requires repetitive motion such as working on computer terminal
• Ability to sit, stand, bend and twist for prolonged periods or intermittently throughout shift
• Ability to lift up to 25 pounds
• Subject to frequent interruptions
• Reliable transportation for occasional, same‑day travel between work locations

Salary Range: $29.95 to $43.16 per hour