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Cascadia Healthcare

Skilled nursing and healthcare facility development

Accounts Receivable Specialist

Full-TimeUpdated on 10/23/2026
No salary listed
Junior
Tualatin, OR, USA
HybridHybrid remote; travel to assigned facilities as needed.
AccountingAccounts Payable/Receivable

About the job

Requirements
  • A high school diploma or equivalent is required.
  • At least two years of accounts receivable, billing, collections, or business office experience is required.
  • Proficiency with Microsoft Excel, Outlook, and Word is required.
  • Strong organizational skills and attention to detail are required.
  • Customer service, communication, and problem-solving skills are required.
  • Ability to manage multiple priorities and meet deadlines is required.
  • Ability to travel to assigned communities as needed is required.
Responsibilities
  • Train and support accounts receivable and billing functions for assigned communities.
  • Monitor and manage accounts receivable balances for assigned communities.
  • Monitor aging reports and communicate collection concerns to community leadership.
  • Review resident accounts to ensure accurate billing and timely payment processing.
  • Follow up on outstanding balances with residents, responsible parties, insurance providers, and other payers.
  • Assist communities with billing processes, admissions documentation, payer setup, and account maintenance.
  • Research and resolve billing discrepancies, denied claims, and payment issues.
  • Maintain accurate resident account records and supporting documentation.
  • Provide guidance and support to Business Office Managers regarding billing and collection procedures.
  • Assist with training on established billing, collection, and revenue cycle processes.
  • Perform account audits to ensure compliance with company policies and regulatory requirements.
  • Assist with payer updates, rate changes, and system maintenance within designated software platforms.
  • Prepare and submit required reports related to accounts receivable activities.
  • Provide accounts receivable coverage and support during staffing vacancies as needed.
  • Partner with operational and financial teams to resolve account issues and improve collection performance.
  • Support month-end accounts receivable processes and reporting requirements.
  • Maintain confidentiality of resident and financial information.
  • Perform other duties as assigned.
Desired Qualifications
  • Previous healthcare, senior living, long-term care, assisted living, or skilled nursing experience is preferred.
  • Knowledge of insurance billing, Medicaid, Medicare, private pay, or managed care reimbursement is preferred.

About the company

Cascadia Healthcare operates in skilled nursing and healthcare real estate development. It runs skilled nursing facilities to deliver patient care and also develops healthcare facilities as part of its real estate activities, generating revenue from both services and property operations. Its care model centers on providing high-quality nursing services within healthcare facilities, supported by ongoing training and an employee-centric, family-valued culture. The company emphasizes collaboration, frequent team discussions, and partnerships to monitor and improve care quality, with regional focus on the areas it serves. Cascadia’s goal is to deliver quality patient care while growing its network of healthcare facilities through honest hard work and strong partnerships.

Company Size

201-500

Company Stage

Debt Financing

Total Funding

$42.3M

Headquarters

Eagle, Idaho

Founded

2015

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Simplify's Take

What believers are saying

  • Sabra expects Cascadia's 22-property takeover to close in second-half 2026, expanding revenue.
  • Avamere's exit lets Cascadia absorb facilities with existing staffing and resident demand.
  • Cascadia says it will retain staff and keep specialty care unchanged across Oregon and Washington.

What critics are saying

  • Multnomah County filed a $51.01 million wrongful-death suit against Cascadia on July 20, 2026.
  • Oregon inspectors cited Creekside in May 2026 for three deficiencies, including unsafe resident care.
  • Avamere's 129-worker layoffs accompany 26 property transitions, signaling churn and integration pressure through late 2026.

What makes Cascadia Healthcare unique

  • Cascadia's Pacific Northwest footprint spans 61-plus long-term care facilities across five states.
  • Sabra's 2026 transition adds 22 Avamere properties, accelerating regional density fast.
  • White Oak's $42.3 million facility financed growth and working capital in August 2022.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Paid Vacation
  • 401(k) Retirement Plan
  • Life Insurance
  • Disability Insurance
  • Pet Insurance
  • Professional Development Budget
  • Flexible Work Hours

Growth & Insights and Company News

6 month growth

19%

1 year growth

22%

2 year growth

22%
American Health Care Association / National Center for Assisted Living
Aug 7th, 2023
2023 Gold National Quality Awards Announced

Washington, D.C. - Two Cascadia Healthcare skilled nursing care and rehabilitation centers in Idaho have been recognized with the 2023 Gold - Excellence in Quality award for superior performance in quality care by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL).

Business Wire
Sep 1st, 2022
White Oak Healthcare Finance Provides Financing to Cascadia Healthcare

White Oak Healthcare Finance LLC (“White Oak” or “WOHCF”) acted as sole lender and administrative agent on the funding of a $42.3 million asset-based