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.

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