Facility Billing Specialist

MPOWERHealth • West Conshohocken, PA

10d • Hybrid

About The Position

MPOWERHealth is hiring a Facility Billing Specialist to support its reimbursement operations by invoicing facility clients for medical services and following up with clients, insurance payers, and patients until accounts are resolved. The role helps support clinical teams and sustain services. It is a full-time, hybrid position.

The specialist creates and submits facility invoices based on contract terms and case details, enters charges and data into the billing system, follows up on purchase orders and payments, and works delinquent accounts. The role also handles unpaid and denied insurance claims, posts payments and adjustments, completes monthly accounts receivable reconciliation, helps establish accounts receivable processes with new facility contacts, responds to billing questions, and flags payment and denial trends.

Requirements

• At least 2 years of medical accounts receivable, invoicing, or insurance follow-up experience.
• High school diploma or GED.
• Advanced Excel skills and strong math ability.
• Working knowledge of CPT, ICD-10, EOBs, and common denial reasons.
• Strong attention to detail.
• Ability to manage high volumes of correspondence while meeting daily invoicing goals.
• Clear, professional written and verbal communication with internal and external contacts at all levels.
• Customer-service mindset, positive attitude, and openness to feedback.

Nice To Haves

• CRCR, CPB, or CPC certification.
• Experience with surgical, specialty, or out-of-network claims.
• Familiarity with the No Surprises Act IDR process.
• Experience with athenahealth, eClinicalWorks, AdvancedMD, Waystar, or a similar system.

Responsibilities

• Create and submit invoices to facility clients based on contract terms and case details.
• Enter charges and data accurately into the billing system.
• Follow up by phone and email on purchase orders, payments, and delinquent accounts.
• Work unpaid and denied insurance claims, including corrections, resubmissions, and appeals.
• Post payments and adjustments, and complete monthly accounts receivable reconciliation.
• Build relationships with new facility contacts and set up their accounts receivable processes.
• Answer client and patient billing questions professionally and with care.
• Flag payment and denial trends to help address problems at their source.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED