Billing Assistant Jobs in Rochester, MN (NOW HIRING)

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.

• 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

• 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

• 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

• Ensure timely and accurate resident billing each month
• Maximize reimbursement and collections performance
• Reduce aging accounts receivable balances
• Improve revenue integrity and billing accuracy
• Support positive resident and family financial experiences
• Strengthen overall financial performance across the senior living portfolio

At Cornerstone Management, we are more than a management company — we are a team dedicated to creating healthy communities and elevating the senior living experience for residents, families, and team members alike.

With communities across multiple states and a rapidly growing portfolio, Cornerstone offers the opportunity to be part of an innovative and fast-paced organization that values collaboration, accountability, responsiveness, and professional growth.

• Supportive and team-oriented culture focused on operational excellence
• Opportunity to make a direct impact on resident experience and financial performance
• Growing organization with advancement opportunities
• Leadership team that values innovation, responsiveness, and continuous improvement
• Strong technology and systems focus to streamline operations and improve outcomes
• Mission-driven environment centered around compassion, integrity, and service

• Competitive compensation
• Performance-based bonus opportunities
• Health, dental, and vision insurance
• Paid time off and holidays
• 401(k) options
• Professional development and career growth opportunities
• Flexible and collaborative work environment

At Cornerstone Management, your work directly contributes to the success of our communities and the lives of the residents we serve every day.