Senior Billing Specialist

Achieva•Pittsburgh, PA
•Hybrid

About The Position

The Senior Billing Specialist supports Achieva’s day-to-day billing operations and revenue by performing daily, weekly, and monthly billing functions. The position reports to the Billing Manager. It is based at the Pittsburgh office, with hybrid flexibility: three days onsite and two remote days weekly after the first two months.

Requirements

  • Electronic claims experience.
  • Proven ability with billing software, such as PROMISE.
  • Strong attention to detail and commitment to accuracy.
  • Solid work ethic and dedication to meeting deadlines.
  • Flexibility to adapt to changing priorities and requirements.
  • Must satisfy Pennsylvania Act 33 and 34 requirements.
  • Valid Pennsylvania driver’s license and a properly insured vehicle for daily use.

Nice To Haves

  • Associate’s degree in Accounting, Finance, or a related field preferred.

Responsibilities

  • Submit weekly claims using state databases and in-house billing software systems.
  • Resubmit, correct, and void claims as needed, including investigating and tracking rejected and denied claims.
  • Process trade files and remittances from the Department of Public Welfare.
  • Serve as a point of contact between program staff and billing staff regarding billing issues and adjustments.
  • Attend meetings and work closely with software consultants.
  • Assist the Billing Manager by providing documents and support for internal and external audits and monitoring.
  • Complete revalidation applications with the Pennsylvania Department of Human Services.
  • Provide backup coverage for the Billing Specialist as needed.

Benefits

  • A $2,000 sign-on bonus for full-time positions.
  • Health, dental, and vision insurance with low employee contributions.
  • Company-paid life, AD&D, and long-term disability insurance.
  • 403(b) retirement plan with employer contributions after one year.
  • Employee Assistance Program for personal and family support.
  • Generous paid time off and holidays.
  • Professional development opportunities.
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