Billing Specialist Jobs

About The Position

Requirements

• High School Diploma or GED.
• Must be at least 21 years of age.
• Ability to pass required background checks, drug screening, and any state-mandated employment clearances.
• Strong interpersonal and communication skills.
• Knowledge of medical billing processes, insurance claims, payment posting, and reimbursement methodologies.
• Understanding of HIPAA regulations and patient confidentiality requirements.
• Strong analytical and problem-solving skills.
• Excellent organizational and time management skills to prioritize multiple tasks while meeting deadlines.
• Proficiency in Microsoft Office Suite and electronic medical record (EMR)/billing systems.
• Ability to work independently while collaborating effectively within a team environment.

Nice To Haves

• Bachelor’s degree in a related field preferred or 1-year minimum experience in medical billing.
• Minimum of two (2) years of medical billing or healthcare revenue cycle experience preferred.
• Experience with behavioral health, residential treatment, or healthcare billing preferred.
• Experience working with Medicaid, commercial insurance, and managed care organizations preferred.

Responsibilities

• Prepare, review, and submit accurate claims for services provided by New Hope in a timely manner.
• Monitor and follow up on denied, rejected, or unpaid claims to ensure prompt resolution and reimbursement.
• Communicate with insurance companies, Medicaid, managed care organizations, and other payor sources regarding payment discrepancies, recoupments, denials, and claim corrections.
• Receive electronic remittance advice (ERAs) and explanation of benefits (EOBs), accurately posting payments, adjustments, and denials.
• Research and reconcile billing discrepancies between billed charges and reimbursement amounts.
• Complete account reconciliations and closeout billing for all applicable contract types.
• Establish and maintain billing procedures, workflows, documentation, and contract maintenance processes.
• Maintain accurate billing records and supporting documentation in accordance with organizational policies and regulatory requirements.
• Collaborate with clinical, finance, admissions, and case management teams to resolve billing-related issues.
• Protect the confidentiality of all patients, financial, and organizational information in accordance with HIPAA and applicable privacy regulations.