Billing and Payroll Specialist

Alora Supports is seeking a detail-oriented and organized Billing and Payroll Specialist to join our growing team. This position will play an important role in managing Medicaid waiver and HCBS billing, invoicing, payroll, and other day-to-day financial and administrative responsibilities.

The ideal candidate is someone who is highly organized, comfortable working with numbers and detailed records, and able to manage multiple priorities while maintaining accuracy. Experience with Medicaid billing, HCBS, healthcare billing, payroll, or waiver-based services is preferred.

About Alora Supports:

Alora Supports is a Nebraska Medicaid-approved provider agency serving adults with intellectual and developmental disabilities (IDD). We provide services through several Nebraska Medicaid waiver programs, including Family Support Services (FSW), Developmental Disabilities Adult Day (DDAD), Aged and Disabled (AD), and Comprehensive Developmental Disabilities (CDD) waivers.

Our goal is to help the individuals we serve live as independently as possible while remaining active and involved in their communities. Alora Supports provides Shared Living services, where individuals receive support while living with host families rather than in traditional group-home settings. We also provide Direct Support Services, which provide in-home and community-based support to individuals as they work toward greater independence.

Alora Supports currently serves individuals across 80+ Nebraska counties, with a strong presence in the Cass, Dodge, Washington, and Saunders County areas.

Key Responsibilities

Medicaid Billing & Invoicing

• Manage and process Medicaid waiver and HCBS billing accurately and on a timely basis.
• Prepare, submit, and track Medicaid claims and invoices.
• Review service documentation, timesheets, authorizations, and other records to ensure billing accuracy.
• Monitor outstanding claims, denials, adjustments, and billing discrepancies.
• Research and resolve billing issues and follow up on unpaid or rejected claims.
• Ensure services are billed according to applicable Medicaid requirements and authorized services.
• Maintain accurate and organized billing records and documentation.
• Assist with billing reconciliations and financial reporting.

Payroll

• Review employee timesheets and service hours for accuracy.
• Assist with processing payroll and resolving discrepancies.
• Ensure payroll information is properly documented and submitted within required deadlines.
• Work with management and staff to address questions or issues related to hours, pay, and timekeeping.
• Maintain accurate payroll records and documentation.

Financial & Administrative Support

• Assist with accounts receivable, invoicing, and payment tracking.
• Reconcile billing, payment, and payroll records and investigate discrepancies.
• Maintain organized financial and administrative records.
• Assist with audits, reporting, and other financial requests.
• Work with internal teams to resolve documentation, billing, and payroll issues.
• Help identify opportunities to improve billing, payroll, and administrative processes.
• Support other day-to-day financial and administrative needs as the organization continues to grow.

Qualifications

Required:

• Strong attention to detail and organizational skills.
• Ability to manage multiple priorities and meet deadlines.
• Strong written and verbal communication skills.
• Comfortable working with spreadsheets, financial records, and computer-based systems.
• Strong problem-solving and analytical skills.
• Ability to maintain confidentiality when handling employee, client, and financial information.
• Ability to work independently while also collaborating with a team.

Preferred:

• Previous experience with Medicaid billing or HCBS billing.
• Experience with Medicaid waiver programs.
• Experience in healthcare, home care, disability services, behavioral health.