Private Pay Billing and Collection Specialist
St. Augustine Health Ministries – Cleveland, Ohio
St. Augustine Health Ministries is seeking a Private Pay Billing and Collection Specialist to join our Business Office team at our Cleveland health campus. This position is responsible for managing the billing and accounts receivable process for resident private pay accounts within our long-term care community.
The Specialist prepares monthly resident statements, posts payments, monitors aging reports, and works directly with residents and families to resolve outstanding balances in a professional and compassionate manner. This role plays an important part in maintaining the financial health of the organization while supporting positive relationships with residents and their responsible parties.
The ideal candidate will have experience in long-term care billing, healthcare accounts receivable, and private pay collections, with strong attention to detail and the ability to communicate clearly with families and team members. This position also supports the Medicaid eligibility process by assisting with documentation, questionnaires, and coordination with county agencies when residents transition from private pay to Medicaid.
Key Responsibilities
Prepare and process monthly private pay billing and resident statements
Post payments, adjustments, refunds, and maintain accurate resident account records
Monitor accounts receivable aging and follow established collection procedures
Communicate professionally with residents, families, and responsible parties regarding billing and balances
Establish and monitor payment arrangements and promissory notes when needed
Assist the Medicaid Liaison with eligibility and redetermination documentation, including Medicaid questionnaires
Collaborate with admissions, nursing, and social services to ensure billing accuracy
Assist with month-end reconciliation, reporting, and audit preparation
Preferred Qualifications
3+ years of billing or accounts receivable experience in skilled nursing or long-term care
Experience with healthcare billing systems and Microsoft Office
Strong organizational, communication, and problem-solving skills
Ability to handle sensitive financial discussions with professionalism and empathy
Great benefits including PTO up to 23 days per year, Medical, Dental and Vision, 401K match, Short Term Disability and Life Insurance and Tuition Assistance.
pay between $21.65-26.45 per hour.
