Private Pay Collections and Waiver Specialist

Suite Living Senior Care•White Bear Lake, MN

3d•$35 - $35•Onsite

About The Position

Suite Living Senior Care is seeking an experienced Private Pay Collections & Waiver Specialist for its corporate office in White Bear Lake, Minnesota. This full-time, in-person role supports residents, families, and senior living communities with Minnesota Medical Assistance (Medicaid) programs while managing private-pay collections and accounts receivable responsibilities. A primary focus is assisting residents and families with Medical Assistance applications, annual renewals, eligibility documentation, and follow-up. The role also supports Minnesota Elderly Waiver (EW) and Community Access for Disability Inclusion (CADI) programs. In addition, the specialist manages delinquent private-pay accounts after initial billing efforts, communicates with residents and responsible parties to resolve balances, establishes payment arrangements, and supports timely collections. The position requires a strong working knowledge of Minnesota Medical Assistance programs, excellent organization, and effective communication with residents, families, county case managers, and internal teams. The successful candidate is detail-oriented, compassionate, persistent, and comfortable balancing administrative program responsibilities with financial collections.

Requirements

High school diploma or equivalent.
At least 2 years of experience in collections, accounts receivable, Medicaid eligibility, or healthcare financial administration.
Proficiency in Microsoft Outlook, Excel, and Word.
Strong verbal and written communication skills.
Excellent organizational skills and attention to detail.
Ability to independently manage multiple accounts, applications, renewals, deadlines, and priorities.

Nice To Haves

Strong working knowledge of Minnesota Medical Assistance (Medicaid) programs.
Experience assisting with Medical Assistance applications, annual renewals, eligibility documentation, and related processes.
Experience with Minnesota Elderly Waiver (EW) and CADI programs.
Private-pay collections experience.
Healthcare, senior living, or long-term care experience.
Experience working with county financial workers, case managers, or other government program representatives.
Experience with PointClickCare or similar healthcare software.
Professional and confident communication skills, strong follow-through, discretion, problem-solving, critical thinking, patience, compassion, persistence, and accountability.

Responsibilities

Assist residents and families with Minnesota Medical Assistance applications and annual renewals.
Gather, review, and organize financial and eligibility documentation for applications and renewals.
Communicate application requirements, renewal deadlines, and outstanding documentation needs to residents, family members, responsible parties, and authorized representatives.
Monitor application and renewal progress and follow up to help prevent delays or lapses in coverage.
Communicate with county financial workers, case managers, and external partners about application status, eligibility questions, and documentation needs.
Research and resolve Medical Assistance-related questions and account concerns.
Provide community staff with guidance and support on Medical Assistance processes and documentation.
Assist with Minnesota Elderly Waiver (EW) and Community Access for Disability Inclusion (CADI) programs, including documentation, account follow-up, and communication with county case managers.
Maintain accurate records related to applications, renewals, and waiver program activity.
Manage assigned delinquent private-pay accounts from collection assignment through resolution.
Contact residents, family members, responsible parties, and authorized representatives about outstanding balances.
Follow up through phone calls, emails, written correspondence, and other approved communication methods.
Discuss and negotiate payment arrangements in accordance with company policies.
Monitor account aging and prioritize collection efforts based on balances and account status.
Research billing discrepancies, investigate payment issues, and coordinate resolutions with appropriate departments.
Document collection activities and communications accurately and provide regular progress updates to leadership.
Review accounts receivable aging reports and identify accounts requiring additional collection efforts.
Coordinate with the billing department to transition unresolved balances into active collections.
Monitor payment activity and ensure account records reflect collection progress.
Prepare account statements, payment histories, contracts, and supporting documentation for legal review or third-party collection assistance.
Work with leadership and outside partners on escalated collection matters when necessary.
Handle sensitive financial and eligibility-related conversations professionally, patiently, and empathetically.
Build productive working relationships with residents, families, community staff, county representatives, and external partners.
Provide clear assistance to residents and families navigating Medical Assistance requirements.
Address account concerns and seek practical solutions while protecting the company's financial interests.
Maintain confidentiality and follow company policies when handling financial and personal information.