BILLING SPECIALIST

Benefits:

• Flexible schedule
• Opportunity for advancement
• Paid time off
• Training & development

The Billing Specialist will be responsible for managing the agency’s billing processes and ensuring that claims and invoices are submitted accurately and on time. This position will work closely with the administrative team to verify service documentation, identify billing discrepancies, track outstanding claims, and maintain accurate billing records.

The ideal candidate should have strong attention to detail, excellent organizational skills, and an understanding of healthcare billing and documentation requirements.

Key Responsibilities

• Prepare and submit accurate healthcare claims and invoices.
• Review service documentation and timesheets for completeness and accuracy before billing.
• Verify that services provided are properly documented and eligible for billing.
• Monitor claims for errors, denials, and rejected submissions.
• Research and resolve billing discrepancies and claim issues.
• Track outstanding claims, payments, and accounts receivable.
• Follow up on unpaid or denied claims in a timely manner.
• Maintain accurate and organized billing records.
• Reconcile billing records with payments received.
• Communicate with insurance companies, Medicaid representatives, vendors, and other relevant parties as needed.
• Work with management and staff to resolve documentation issues that may affect billing.
• Ensure billing is completed within required deadlines.
• Maintain confidentiality of client and financial information.
• Assist with audits and provide billing documentation when requested.
• Stay informed about applicable billing requirements, policies, and procedures.
• Perform other billing and administrative duties as assigned.

Qualifications

• High school diploma or equivalent required; Associate’s or Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field preferred.
• Previous healthcare billing experience preferred.
• Experience with Medicaid billing or Home and Community-Based Services (HCBS) billing is a strong plus.
• Knowledge of accounts receivable and claims processing.
• Strong attention to detail and accuracy.
• Excellent organizational and time-management skills.
• Ability to identify and resolve billing discrepancies.
• Strong written and verbal communication skills.
• Proficiency with Microsoft Office, particularly Excel.
• Ability to maintain confidentiality and handle sensitive client information.
• Ability to work independently and meet strict deadlines.