Job Description

The billing specialist is responsible for managing the billing process, ensuring accurate invoicing, processing payments and maintaining financial records to support the organization’s financial health.  This role ensures timely billing across multiple funding sources and supports reporting processes for clinical services.

Responsibilities

• Accurately prepare and submit claims/invoices to insurance companies and third-party payers, ensuring that all charges are accurate and comply with the company policies.
• Responsible for handling incoming payments, recording transactions, and monitoring accounts to ensure timely payments.
• Reconcile accounts to maintain accurate financial records and resolve claim denials, rejections, and underpayments.
• Ensure compliance with federal, state, and payer-specific billing regulations.
• Serve as the point of contact for billing inquiries, addressing questions and resolving issues related to claims and payments. When necessary collaborate with coding, clinical, and administrative staff to resolve billing discrepancies.
• Maintain up-to-date knowledge of billing codes and payer guidelines.
• Provide monthly accounts receivable reports.
• Maintain current enrollment in the state Medicaid program to support billing for all agency services.
• Assist with the credentialing (paneling) process for Cana Counseling therapists.
• Maintain the master list of credentialed therapists and accepted insurance providers.
• Other duties as assigned.

Requirements

• Education
  • High school diploma or GED required.
• Certification, Registration, or License
  • Medical Billing/Coding certificate from a recognized program preferred.
• Experience
  • Minimum of five years of experience in billing, collections, and accounting.
• Skills and Abilities
  • Proficiency in Excel and other Microsoft Office products.
  • Technical capability.
  • Ten-key by touch and ability to operate general office equipment.
  • Familiarity with medical billing software systems preferred.
• Communication
  • Daily interaction with internal and external stakeholders.
• Exposures
  • Work is performed in a controlled office environment with minimal exposure to noise, dust, or odors.

Physical Demands

• Work Type: Light – exerting up to 20 lbs occasionally, 10 lbs frequently.
• Mobility: Minimal movement required; may work in a multilevel building with stairs.
• Posture: Sitting for extended periods (up to two hours); minimal stooping or bending.
• Reaching: Occasional overhead and horizontal reaching.
• Vision & Hearing: Adequate to perform essential functions; frequent auditory and verbal communication.
• Coordination & Dexterity: Frequent use of hands and moderate equipment operation.

Job Tags

Full time, Work at office,

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