Billing and Payroll Specialist

We are seeking a detail-oriented Billing and Payroll Specialist to manage Medicaid waiver and HCBS billing, invoicing, payroll, and day-to-day financial administration for Alora Supports. The ideal candidate will be organized, dependable, and comfortable working with detailed financial and service records.

Experience with Medicaid billing, HCBS, healthcare billing, payroll, or accounting 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 multiple Nebraska Medicaid waiver programs, including FSW, DDAD, AD, and CDD. Our services include Shared Living with host families and Direct Support Services that help individuals receive support in their homes and communities.

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

Responsibilities include:

• Managing Medicaid waiver and HCBS billing and claims
• Preparing and tracking invoices
• Reviewing service documentation, timesheets, and authorizations
• Identifying and resolving billing discrepancies and denied claims
• Assisting with payroll processing and reviewing employee timesheets
• Maintaining accurate billing, payroll, and financial records
• Reconciling payments and investigating discrepancies
• Supporting audits, reporting, and other financial administration
• Working with internal staff to resolve billing and payroll issues
• Helping improve billing, payroll, and administrative processes

Qualifications:

• Strong attention to detail and organizational skills
• Ability to manage multiple priorities and meet deadlines
• Comfortable working with numbers, spreadsheets, and financial records
• Strong communication and problem-solving skills
• Ability to maintain confidentiality
• Medicaid, HCBS, healthcare billing, or payroll experience preferred
• Experience with Nebraska Medicaid or waiver programs is a plus

This is an opportunity to join a growing organization and play an important role in supporting the financial and administrative operations of Alora Supports.