Private Pay Billing Specialist

HumanGood•Duarte, CA

11h•Remote

About The Position

The Private Pay Billing Specialist is responsible for supporting accurate and timely private pay billing, payment posting, resident account activity, collections documentation, refund processing, and accounts receivable follow-up for assigned communities. This role supports community billing resources by reviewing private pay workflows, monitoring billing and collection activity, providing training and guidance, and helping ensure resident account activity is completed in accordance with established procedures. The position works within established billing, collections, resident trust, payment processing, and revenue cycle workflows to support accurate private pay billing, timely payment application, AR aging resolution, and consistent community billing practices.

Requirements

High school diploma or equivalent.
Minimum of three years of accounts receivable, private pay billing, resident billing, healthcare billing, collections, payment posting, or related revenue cycle experience.
Working knowledge of private pay billing, resident account activity, payment processing, electronic funds transfer, collections workflows, refund processing, AR aging, billing documentation, and account reconciliation.
Experience using electronic health record, billing, accounts receivable, payment processing, spreadsheet, and Microsoft Office applications.
Ability to review billing records, resident account activity, census information, payment documentation, aging reports, collection notes, and billing workflows for accuracy and completeness.
Ability to research account issues, identify discrepancies, document follow-up activity, and resolve billing or collection issues within established guidelines.
Strong attention to detail, accuracy, organization, and follow-through.
Ability to manage deadlines, prioritize work, and maintain accurate documentation in a high-volume billing environment.
Strong written and verbal communication skills, including the ability to explain billing, account, payment, and documentation issues clearly and professionally.
Demonstrated customer service skills and ability to interact professionally with team members, community stakeholders, residents, and responsible parties.

Nice To Haves

Associate degree or coursework in business, accounting, healthcare administration, medical billing, revenue cycle, or related field.
Experience in senior living, skilled nursing, post-acute care, long-term care, continuing care retirement communities, or a multi-site healthcare environment.
Experience supporting community billing workflows, resident trust processes, electronic funds transfer, private pay collections, refunds, bad debt documentation, and month-end AR close.
Experience training, mentoring, or providing workflow support to billing, AR, or revenue cycle team members.
Familiarity with healthcare billing systems, resident billing platforms, EHR systems, payment portals, and AR reporting tools.

Responsibilities

Support accurate and timely private pay billing activity for assigned communities, including resident statements, ancillary charges, census updates, payment processing, collections documentation, and account follow-up.
Post private pay payments and deposits, review credit and debit balances, resolve account discrepancies, and support accurate application of resident account activity.
Monitor community billing workflows to ensure private pay census, ancillary charges, statements, payment activity, collections notes, letters, calls, and other required documentation are completed timely and accurately.
Review and monitor resident trust account setup, maintenance, and supporting documentation in accordance with established procedures.
Support private pay collections processes by reviewing account activity, monitoring receivables, documenting follow-up, identifying collection issues, and escalating concerns as appropriate.
Prepare documentation to support private pay refunds, bad debt write-offs, account corrections, and other account actions; enter approved refunds or adjustments in the applicable system.
Lead or participate in private pay AR reviews, focused account reviews, and community billing meetings by providing account status updates, follow-up items, and billing support.
Support Electronic Funds Transfer initiatives by assisting communities with payment enrollment campaigns, workflow follow-up, and resident account payment processes.
Provide training, mentoring, backup support, and workflow guidance to community billers and other team members performing private pay billing or AR functions.
Fill in for community billing team members during vacancies, leaves, or other coverage needs by performing assigned community billing duties.
Maintain assigned metrics and communicate billing issues, workflow gaps, account concerns, and process improvement opportunities to the Revenue Cycle Manager or Director of Accounts Receivable.
Support the development, documentation, implementation, and consistent application of private pay billing procedures, workflows, and process improvements under the direction of Revenue Cycle leadership.
Support month-end AR and billing close activities, including report review, account balancing, charge validation, documentation, and resolution of assigned billing or account issues.
Provide additional assistance to the revenue cycle function as needed, including support for documentation related to third-party claims and collections workflows.