BILLING SPECIALIST

Apis Services Inc

1d•Hybrid

About The Position

The Billing Specialist is responsible for coordinating Billing operations to ensure timely and accurate submission of claims. This position supports the full revenue cycle process by managing the Billing requirements for APIS programs, assisting with account reconciliations, and maintaining compliance with payer requirements and internal policies. The role also provides administrative and operational support to the APIS administrative team, contributing to the efficiency and accuracy of financial documentation and reporting across programs.

Requirements

Associate’s degree in human services, medical billing, accounting, or a related field required.
Minimum of 2–3 years’ experience in healthcare billing, claims processing, compliance, or EHR systems.
A combination of experience from the following: compliance, insurance verification, claims submission, denial management, and EHR operations.
Proficiency working in EHR systems, preferably Credible, and Microsoft Office Suite (Excel, Word, Outlook).
Follows all HIPAA, OSHA, CARF, and company regulations.
Completes required trainings and maintains certifications.
Demonstrates professionalism, teamwork, and a commitment to organizational values.

Nice To Haves

Bachelor’s degree in human services, business, or a related field preferred.
Experience in behavioral health, medical billing, compliance, or a multi-program healthcare organization.
Familiarity with Medicaid/Medicare regulations, payer portals, and clearinghouse systems.
EHR Administrator and Revenue Cycle Certifications, preferably Credible.

Responsibilities

Verify insurance coverage, accuracy of billing data, payer setup, and demographics for those in services prior to submission for billing.
Prepare, review, and submit accurate Billing information for billing Medicaid, County, Private Insurance, and Managed Care Organizations.
Research and resolve rejections, denials, or unpaid claims with the help of Revenue Cycle Department.
Investigate account issues, including coordination of benefits, and insurance issues.
Maintain detailed and organized records and audit trails for compliance review.
Support budget, grant, and financial documentation processes as assigned.
Collaborate with administrative and fiscal teams to reconcile A/R and A/P accounts.
Perform periodic audits and report findings, identifying opportunities for process improvement.
Act as liaison with internal departments and programs to resolve billing-related inquiries.
Assist with developing and implementing Billing policies, procedures, and compliance standards.
Provide administrative coverage and support for other business functions when needed.
Maintain confidentiality and adhere to HIPAA, OSHA, and organizational policies at all times.