Billing Specialist

Hudson Health Services•Salisbury, MD

6d•$47,000 - $52,000

About The Position

Exciting opportunity to join our established and expanding organization. Accredited by The Joint Commission, Hudson Behavioral Health is a 501(c)(3), non-profit organization providing Behavioral Health Treatment in Salisbury, Maryland. Since its inception in 1980, Hudson Behavioral Health has been providing cutting edge treatment for Substance Use and other co-occurring disorders. Our services include Detoxification, Inpatient Rehabilitation, Partial Hospitalization, Treatment, Transitional Housing and Outpatient Mental Health. The Billing Specialist will provide accurate, compliant, and timely billing and accounts receivable services to support organizational financial stability, maximize reimbursement, and reduce aged accounts receivable while maintaining patient confidentiality and regulatory compliance.

Requirements

High school diploma or GED required.
Minimum of 2 years of hands-on experience in medical billing, revenue cycle, or accounts receivable.
Demonstrated experience with end-to-end revenue cycle functions, including claims submission, payment posting, denials management, appeals, and A/R follow-up.
Demonstrated ability to interpret EOBs and ERAs and reconcile payments, adjustments, and contractual allowances.
Strong written and verbal communication skills with patients, families, payers, and internal teams.
Ability to manage deadlines, maintain accuracy, and work independently in a regulated healthcare environment.
Hands-on experience using EHR systems, billing/ERP platforms, clearinghouses, payer portals, and Microsoft Excel.

Responsibilities

Prepare, review, and submit accurate electronic and paper claims to third-party payers and patients.
Use the organization’s EHR, ERP, and payer portals to process claims, post payments and adjustments, reconcile EOBs/ERAs, maintain fee schedules, and prepare cash receipts journals.
Verify insurance eligibility, coverage, and payer requirements in coordination with admissions and utilization review staff.
Monitor accounts receivable, track claim status, research outstanding balances, and follow up on unpaid, underpaid, or denied claims within timely filing requirements.
Analyze denials, submit corrected claims and appeals, document findings, and implement corrective actions to prevent recurrence.
Communicate clearly with insurance representatives and patients/clients regarding claim status, payment issues, and outstanding balances; collect payments and establish payment arrangements as appropriate.
Reconcile billing data with census and clinical documentation to ensure accurate and compliant billing.
Prepare and present A/R reports, including delinquent account analysis, write-offs, and supporting documentation.
Identify non-collectible accounts, process appropriate write-offs, audit credit balances, and coordinate refunds when required.
Maintain organized, accurate financial records and client billing documentation.
Review and prepare client statements for distribution, as needed.
Support internal and external audits and collection or legal processes related to unpaid balances, when required.
Cross-train in all billing and A/R functions across company divisions and learn additional software applications as needed.
Participate in required billing, payer, compliance, and system trainings and meetings.
Maintain strict confidentiality and comply with HIPAA, 42 CFR Part 2, accreditation standards, payer requirements, and applicable Maryland regulations.