A/R Billing Specialist

Necco • Cincinnati, OH

4h

About The Position

The Claims Management Specialist is responsible for managing the billing and claims lifecycle to ensure accurate claim submission, timely reimbursement, regulatory compliance, and effective collaboration with internal and external stakeholders. This role supports the organization’s revenue cycle performance through proactive claims management, customer service, and adherence to Necco’s corporate culture and operational standards. The ideal candidate is a happy warrior who thrives on leading from the front with strategic thinking, is a solid communicator in search of decisions that deliver real results, a problem-solver, financial steward, and excels at collaboration. They should be ridiculously passionate about the company’s success, growth, and program quality.

Requirements

• 3+ years of experience
• Proficient with Microsoft Office Suite
• Experience with EHR and Clearinghouse Software
• Experience managing complex, voluminous datasets and electronic records
• Strong communication skills to build and maintain relationships with internal and external customers as well as provide valuable feedback to management
• Must be self-directed, resourceful, vigilant and persuasive
• Successful completion of all required criminal background checks

Nice To Haves

• Degree or certificate in medical billing/coding (or nearing completion) preferred
• Preference for experience with claims submission to Medicaid/MCOs or governmental entities
• Valid driver’s license and 100/300/100 required auto insurance coverage
• Travel/training willingness

Responsibilities

• Utilize the Electronic Health Record (EHR) system to generate claims for per diem and fee-for-service billing and submit invoices to payors
• Review and take action on submitted claims within 30–45 days to ensure timely resolution
• Monitor, investigate, and resolve held, rejected, or denied claims using EHR and clearinghouse tools
• Assist with cash application processes, including reconciliation of open accounts receivable balances
• Maintain accurate documentation related to billing activities and claim outcomes
• Foster strong internal and external relationships to support timely resolution of billing discrepancies
• Communicate effectively with payors, service line teams, and leadership regarding claim status and issues
• Identify and recommend opportunities for process and policy improvement based on trends observed during collections and claim follow-up.
• Collaborate with the Revenue Cycle Management Team to ensure systems, workflows, and processes operate efficiently
• Maintain compliance with all regulatory agencies governing Medicaid and governmental billing practices
• Ensure adherence to organizational policies, governmental regulations, and fiscal management standards
• Maintain strict confidentiality of financial and client information
• Assure compliance with HIPAA regulations related to billing and protected health information
• Demonstrate ruthless pragmatism in problem solving and decision making
• Engage in constructive peer-to-peer feedback
• Know and live the Necco Corporate Culture Principles
• Embody the three essential virtues of humble, hungry, and smart
• Actively manage and drive Individual Performance Scorecard goals
• Participate in and contribute to Necco’s meeting structure and organizational initiatives

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree