Billing Specialist

Families and Youth Innovations Plus•Las Cruces, NM

5d•$15 - $19

About The Position

The Billing Specialist manages the accurate preparation, submission, and tracking of claims and payments for services rendered. The role ensures billing processes are completed promptly and comply with organizational policies, contracts, and payer requirements. Responsibilities include reviewing billing data, submitting claims or invoices, monitoring accounts receivable, and following up on outstanding balances or denied claims. The specialist also assists with payment posting, reconciliation, and reporting, and communicates 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 other payers.
Verify claims meet payer requirements before submission.
Ensure billing data is accurate, complete, and compliant with contracts and payer rules.
Investigate denied claims, make corrections, and resubmit denied or rejected claims as needed.
Record incoming payments and apply them correctly to accounts.
Reconcile payments against invoices and account balances, and identify and resolve discrepancies.
Monitor outstanding balances and follow up on overdue accounts.
Communicate with payers regarding unpaid invoices and 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, and update account information in billing systems.
Ensure compliance with company policies and regulations.
Respond to billing inquiries professionally and in a timely manner.
Assist with monthly eligibility.
Coordinate with internal departments, including the insurance specialist, intake, and finance.
Register clients who do not have insurance in NMStar.