Billing Specialist

Families and Youth Innovations Plus•Las Cruces, NM

11d•Onsite

About The Position

The Billing Specialist is responsible for managing the accurate preparation, submission, and tracking of claims and payments for services rendered. This role ensures that billing processes are completed promptly and in compliance with organizational policies, contracts, and payer requirements. The Billing Specialist reviews billing data for accuracy, submits claims or invoices, monitors accounts receivable, and follows up on outstanding balances or denied claims. They also assist with payment posting, reconciliation, and reporting, while communicating with clients, payers, and internal departments to resolve billing discrepancies.

Requirements

High school diploma or GED equivalent
Minimum of 2–3 years of experience in billing, accounts receivable, or Mental health revenue cycle operations
Proficiency with Electronic Health Record (EHR) systems and/or medical billing software
Strong computer skills, including Microsoft Office Suite (Word, Excel, Outlook)
Working knowledge of insurance billing processes, claims submission, and payment posting
Knowledge of HIPAA regulations and patient confidentiality requirements
Strong attention to detail and accuracy in financial and billing data entry
Excellent verbal and written communication skills for payer and client interactions
Ability to analyze and resolve claim denials, billing discrepancies, and account issues
Ability to multitask and manage high-volume workloads in a fast-paced environment

Responsibilities

Submit electronic or paper claims to insurance companies or payers
Verify claims meet payer requirements before submission
Ensure billing data is accurate, complete, and compliant with contracts or payer rules
Correct and resubmit denied or rejected claims
Investigate reasons for denial
Make corrections and resubmit as needed
Record incoming payments and apply them correctly to accounts
Reconcile payments against invoices and account balances
Identify and resolve discrepancies
Monitor outstanding balances and follow up on overdue accounts
Communicate with payers regarding unpaid invoices
Assist with collection efforts when necessary
Enter charges into billing systems on time, when needed for specific programs
Maintain accurate billing records and audit trails
Update account information in billing systems
Ensure compliance with company policies and regulations
Respond to billing inquiries professionally and timely manner
Assist with monthly eligibility
Coordinate with internal departments (insurance specialist, intake, finance, etc.)
NMStar registers every client who doesn’t have insurance.