Senior Living Billing & Reimbursement Specialist

Cornerstone Management•Rochester, MN

About The Position

The Senior Living Billing & Reimbursement Specialist is responsible for overseeing resident billing, reimbursement processing, accounts receivable management, and collections for Cornerstone Management’s senior living communities. This role ensures timely and accurate invoicing, proactive follow-up on outstanding balances, and efficient claims processing for private pay residents and third-party payer sources. The ideal candidate will possess strong financial and organizational skills, exceptional attention to detail, and the ability to communicate professionally with residents, families, payer sources, and internal operational teams.

Requirements

Experience in senior living, healthcare billing, long-term care, or medical reimbursement preferred
Knowledge of accounts receivable, collections, and reimbursement processes
Experience with Medicaid Waiver billing, insurance claims, or healthcare payer systems preferred
Experience with ECP, PointClickCare, Eldermark, or related billing software preferred
Strong organizational skills with exceptional attention to detail
Excellent communication and customer service abilities
Ability to manage multiple priorities and deadlines in a fast-paced environment
Proficiency in Microsoft Office, particularly Excel

Nice To Haves

Detail-oriented and highly organized
Strong follow-through and accountability
Professional and compassionate communication style
Strong analytical and problem-solving skills
Ability to work independently while collaborating effectively with teams
Commitment to accuracy, responsiveness, and customer service excellence

Responsibilities

Prepare and process monthly resident billing for Assisted Living and Memory Care communities
Ensure accurate invoicing for rent, care services, medication management, ancillary charges, and additional resident services
Review move-ins, move-outs, level-of-care adjustments, and service changes to ensure billing accuracy
Maintain resident billing records and supporting documentation
Submit and manage claims billing for Medicaid Waiver programs, long-term care insurance, veteran benefits, hospice coordination, and other payer sources
Monitor claim submissions, reimbursement timelines, denials, and unpaid claims
Work directly with payer entities to resolve billing discrepancies and reimbursement issues
Ensure billing compliance with applicable payer requirements and regulations
Monitor accounts receivable aging and outstanding balances across assigned communities
Follow up with residents, families, responsible parties, and payer sources regarding unpaid balances
Coordinate payment arrangements and assist in resolving billing concerns professionally and compassionately
Support reduction of delinquent accounts and improve overall cash collections
Assist in preparing monthly AR and collections reporting for leadership teams
Identify trends, billing errors, or missed revenue opportunities
Support revenue optimization efforts through accurate billing practices and account reconciliation
Assist with month-end billing close processes and census reconciliation
Partner closely with Executive Directors, nursing teams, accounting, and corporate leadership
Support audits, compliance reviews, and financial documentation requests
Assist with implementation and optimization of billing systems and processes
Maintain HIPAA compliance and confidentiality of resident financial information