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Long Term Care Billing Jobs (NOW HIRING)

Alps Pharmacy

Long Term Care Billing Specialist

Nixa, MO · On-site

$17 - $23/hr

The role of the Long Term Care Billing Specialist is to be responsible for performing the day-to-day activities within the billing department. This includes, but is not limited to, posting insurance ...

Country Manor

Billing Specialist

Sartell, MN · On-site

$24.06 - $28.33/hr

Explain long-term care billing clearly and compassionately to residents and families * Maintain strict confidentiality of PHI and company records * Perform all other duties as assigned Qualifications:

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How much do long term care billing jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for long term care billing in the United States is $20.52, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $22.60 per hour, depending on experience, location, and employer.

What is long term care billing?

Long term care billing refers to the process of submitting and managing claims for services provided in long-term care facilities, such as nursing homes or assisted living communities. This involves handling insurance claims, Medicaid, Medicare, and private pay billing. Billers ensure accuracy, compliance with regulations, and timely payment so facilities receive reimbursement for patient care. They also communicate with insurance companies, residents, and families to resolve billing questions and discrepancies.

What are some common challenges faced in a long term care billing role and how can they be managed?

Professionals in Long Term Care Billing often encounter challenges such as staying updated with frequently changing insurance policies, navigating complex Medicaid and Medicare regulations, and resolving discrepancies in patient accounts. Managing these challenges typically requires strong attention to detail, ongoing education on regulatory updates, and effective communication with both facility staff and insurance representatives. Developing solid organizational systems and maintaining accurate records can also help streamline the billing process and reduce errors, ensuring timely reimbursements for the facility.

What are the key skills and qualifications needed to thrive in long term care billing, and why are they important?

To excel in Long Term Care Billing, you need detailed knowledge of medical billing procedures, insurance guidelines, and regulatory compliance, often supported by experience or certification in medical billing and coding. Familiarity with billing software, electronic health records (EHR) systems, and payer portals is typically required. Strong attention to detail, problem-solving abilities, and effective communication are vital soft skills in this role. These competencies ensure accurate claims processing, timely reimbursements, and smooth coordination with healthcare providers, payers, and patients.

What is the difference between Long Term Care Billing vs Medical Billing Specialist?

AspectLong Term Care BillingMedical Billing Specialist
CredentialsCertification in long term care billing or healthcare codingMedical billing certification (e.g., CPC, CPC-H)
Work EnvironmentLong term care facilities, nursing homes, assisted livingHospitals, clinics, physician offices
Industry UsagePrimarily in long term care and senior care servicesAcross various healthcare providers and specialties
Job FocusBilling for long term care services, Medicaid, MedicareBilling for general medical procedures and services

While both roles involve healthcare billing, Long Term Care Billing specializes in billing for senior care facilities and Medicaid/Medicare long term care services. Medical Billing Specialists handle a broader range of medical billing tasks across different healthcare settings. Understanding these differences helps job seekers find the right fit based on their credentials and career goals.

More about Long Term Care Billing jobs
What cities are hiring for Long Term Care Billing jobs? Cities with the most Long Term Care Billing job openings:
What states have the most Long Term Care Billing jobs? States with the most job openings for Long Term Care Billing jobs include:
What job categories do people searching Long Term Care Billing jobs look for? The top searched job categories for Long Term Care Billing jobs are:
Long Term Care Billing jobs near you
Infographic showing various Long Term Care Billing job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 69% Full Time, 22% Part Time, and 7% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $42,673 per year, or $20.5 per hour.

Long Term Care Billing Specialist

Alps Pharmacy

Nixa, MO • On-site

$17 - $23/hr

Full-time

Re-posted 5 days ago

Job description

The role of the Long Term Care Billing Specialist is to be responsible for performing the day-to-day activities within the billing department. This includes, but is not limited to, posting insurance and patient payments, processing patient payments, submitting for and following up on authorizations, and submitting claims. They should always take steps to improving the billing process.
Responsibilities:
  • Produce and submit claims to insurance companies and clients;
  • Work directly with insurance companies, facilities, and clients to ensure invoices are processed and paid in a timely manner;
  • Verify insurance coverage;
  • Manage receivables;
  • Produce Accounts-Receivable reports;
  • Manage inventory-control process;
  • Maintain confidentiality of patient and organization information;
  • Perform other bookkeeping tasks as needed.
  • Fulfill other requests by the Accounting Department and Management
  • Report any unethical, suspicious, or otherwise morally questionable procedures by the company
  • Perform other duties as assigned

Job Requirements:
  • Exceptionally detailed personality, with a focus in excellent customer service
  • 1-3 years of billing experience in a Long Term Care/Skilled Nursing Facility setting preferred
  • 1-3 years in accounts receivable in a healthcare environment; preferred
  • Knowledge with Medicare A & B, Medicaid, and Coinsurance
  • Experience with FrameworkLTC pharmacy software
  • High level of understanding with Word, Excel, Outlook, cloud based software, e-fax, etc.
  • Proficiency in verbal communication in English and understanding of written English
  • High School Degree or equivalent (GED)

Physical Demands:
  • The employee is regularly required to stand, walk, sit, talk and hear
  • The employee is required to use hands to operate vehicles and office equipment
  • The employee must occasionally lift and/or move up to 25 pounds
  • Specific vision requirements for this job include: close, distance and peripheral vision, and the ability to adjust focus
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position without compromising patient care.

Other Responsibilities
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Alps Pharmacy is an Equal Opportunity Employer. For additional information, go to www.alpspharmacy.com.

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