Billing Specialist

Apollo Behavior•Suwanee, GA

17d•$25 - $25•Remote

About The Position

As a Medical Billing Specialist at Apollo Behavior, you will assume a pivotal role in supporting the organization’s revenue cycle operations by overseeing the end-to-end billing process. You will be responsible for maintaining comprehensive billing records, monitoring and reporting key performance indicators related to claims submission, denial resolution, and payment posting, and serving as the primary point of contact for internal teams and external payers.

Requirements

Strong attention to detail.
Effective problem-solving and troubleshooting.
Effective communication, both written and oral
Accurate data entry
You have experience credentialing in Central Reach
Able to work with prescribed deadlines
Ability to effectively work within a team
Learn quickly and accept ongoing changes
Effectively perform routine and repetitive tasks
Understanding of workflows and systems
Independent and productive, without direct oversight
Able to work from home in a distraction-free environment
High speed, reliable Internet
Able to maintain HIPAA requirements while working from home
Basic math, including addition, subtraction, multiplication and division
Professional writing and communication
Be curious and ask questions

Responsibilities

Support efficient management of billing workflows:
Claims generation: Prepare, review, and submit claims to insurance carriers and third-party payers in compliance with regulatory and payer-specific requirements.
Denial follow-up: Investigate, appeal, and resolve denied or rejected claims, ensuring timely reimbursement and minimizing revenue loss.
Payment posting: Accurately record and reconcile payments, adjustments, and remittances in the billing system, ensuring accounts are up to date.
Trend communication: Identify recurring issues, payer trends, and denial patterns; prepare reports and communicate findings to management for process improvement.
Collaboration: Partner with clinical staff, patient services, and finance teams to resolve billing discrepancies and improve workflow efficiency.
Compliance: Maintain knowledge of HIPAA regulations, payer guidelines, and industry standards to ensure billing practices meet compliance requirements.
Support in maintaining accuracy of data in the authorization spreadsheet.
Communicate with clinical team and authorization specialists as needed to ensure insurance and authorization coverage for clients.
Accurately audit Central Reach data within weekly prescribed timelines.
Update Central Reach to reconcile accounts with correct insurance, client and payment information.
Contact insurance companies to resolve claims and to obtain overall resolution of trending issues.
Generate and update spreadsheets for workflows and tracking.
Support RCM team in developing and maintaining efficient processes.
Maintain compliant processes in all areas of billing.
Completion of duties assigned by management.