JOB DETAILS

A/R Biller

CompanyPALLADIAN EMPLOYEE SERVICES LLC
LocationO'Fallon
Work ModeOn Site
PostedFebruary 28, 2026
About The Company
At Palladian, we're focused on muscular skeletal healthcare. The way it's accessed. The way it's delivered. We are dedicated to improving the coordination of patient care, enhancing the clinical effectiveness and efficiency of caregivers, and, ultimately, improving the quality of people's lives. We partner with healthplans and large employer groups delivering services to over 5 million covered individuals dispersed throughout the United States. We have extensive networks of providers that enable us to deliver muscular skeletal disease management, traditional risk management and Medicare based fitness facility programs, all with the goal of long term health and physical wellness. Our goal is to utilize our knowledge to build physical strength in your members - and financial strength for you.
About the Role

Description

Long Term Care Billing Specialist

Join the Palladian Team Where Accuracy Meets Awesome!

Are you a billing wizard with a knack for numbers, a love for teamwork, and a little extra patience for navigating insurance mazes? Palladian Management’s Customer Accounts office in O’Fallon, IL is looking for an experienced Long Term Care Billing Specialist to join our amazing team!

We’re a family-owned, regional network of skilled nursing communities that takes pride in providing top-notch care—and that includes making sure billing and payments run smoothly. If you’re dependable, self-sufficient, and can juggle multiple tasks like a pro, you’ll feel right at home here.

What You’ll Do (Your Superpowers in Action)

As our Billing Specialist, you’ll make sure our residents’ accounts are accurate, up to date, and handled with care. Your day-to-day might include:

  • Billing brilliance: Handle Medicare, Insurance, Managed Care, and Private Pay billing like a rock star.
  • Investigate the mysteries: Review unpaid claims, research delays, and chase down solutions.
  • Follow-through champion: Submit corrected claims, reconsiderations, and appeals when needed.
  • Teamwork makes the dream work: Collaborate with insurance companies, provider reps, and your Palladian colleagues to resolve billing issues.
  • Keep leadership in the loop: Communicate payment updates or denials that impact revenue.
  • Account detective: Review outstanding accounts, monitor aging reports, and ensure nothing slips through the cracks.
  • Resident-friendly: Make phone contact with residents and families regarding out-of-pocket expenses, answering questions with a smile.
  • Train and support: Help Business Office Managers and partner with collections specialists to keep private pay accounts current.
  • Paperwork guru: Track and review required documentation from our facilities to ensure compliance and smooth operations.

Requirements

What You Bring to the Team

  • High school diploma or equivalent required (because we love smart people).
  • 3–5 years’ experience with IL Medicaid preferred.
  • 1–3 years in a Skilled Nursing business office or billing office required.
  • Advanced skills in Microsoft Excel and Word (your spreadsheets will thank you).
  • Ability to work independently and collaborate as part of a team.
  • Incredible attention to detail and follow-through skills.
  • Top-notch customer service skills for phone and email communication.
  • A desire to succeed and help others succeed (because teamwork rocks!).
  • Experience with MatrixCare is highly preferred—but if you’re willing to learn, we’ll train you.
  • Why Palladian Rocks
  • Family-owned and growing: We treat our associates like family and support career growth.
  • Room to grow: Many of our managers started in hourly roles—we promote from within!
  • Positive team environment: Problem-solving over finger-pointing, every time.
  • Ongoing learning: We invest in continuing education and training to keep you at the top of your game.
  • Competitive benefits: Medical, dental, vision, 401(k), and more.
  • Flexibility: We work hard to accommodate your preferred schedule.

At Palladian, your work matters. You’ll be part of a team that strives for excellence, supports each other, and creates positive experiences for residents, families, and coworkers every single day.

Ready to bring your billing expertise and awesome attitude to a team that values you? Let’s grow together

Key Skills
BillingMedicareInsuranceManaged CarePrivate PayClaims InvestigationAppealsCollaborationAccount ReviewAging ReportsCustomer ServiceMicrosoft ExcelMicrosoft WordAttention To DetailFollow-ThroughMatrixCare
Categories
Finance & AccountingHealthcareAdministrativeCustomer Service & Support
Benefits
MedicalDentalVision401(k)
Job Information
📋Core Responsibilities
The Billing Specialist will manage accurate and up-to-date billing for Medicare, Insurance, Managed Care, and Private Pay accounts, which includes investigating unpaid claims and submitting necessary corrections or appeals. Responsibilities also involve communicating payment updates, reviewing outstanding accounts, and interacting with residents/families regarding out-of-pocket expenses.
📋Job Type
full time
💰Salary Range
$22 - $26
📊Experience Level
2-5
💼Company Size
27
📊Visa Sponsorship
No
💼Language
English
🏢Working Hours
40 hours
Apply Now →

You'll be redirected to
the company's application page