Job Description

The billing specialist is responsible for performing a variety of billing and accounts receivable functions. This role ensures accurate and timely billing across multiple funding sources and supports reporting processes for clinical services.

ACCOUNTABILITIES

• Accurately prepare and submit claims to insurance companies and third-party payers.
• Review and resolve claim denials, rejections, and underpayments.
• Ensure compliance with federal, state, and payer-specific billing regulations.
• Collaborate with coding, clinical, and administrative staff to resolve billing discrepancies.
• Maintain up-to-date knowledge of billing codes and payer guidelines.
• Respond to patient inquiries regarding billing and insurance coverage.
• Monitor accounts receivable and follow up on outstanding claims and payments.
• Provide monthly accounts receivable reports.
• Maintain current enrollment in the state Medicaid program to support billing for all agency services.
• Assist with the credentialing (paneling) process for Cana Counseling therapists.
• Maintain the master list of credentialed therapists and accepted insurance providers.
• Other duties as assigned.

EDUCATION

• High school diploma or GED required.

CERTIFICATION, REGISTRATION, OR LICENSE

• Medical Billing/Coding certificate from a recognized program preferred.

EXPERIENCE

• Minimum of five years of experience in billing, collections, and accounting required.

SKILLS AND ABILITIES

• Proficiency in Excel and other Microsoft Office products.
• Technical capability.
• Ten-key by touch and ability to operate general office equipment.
• Familiarity with medical billing software systems preferred.

COMMUNICATION

• Daily interaction with internal and external stakeholders.

EXPOSURES

• Work is performed in a controlled office environment with minimal exposure to noise, dust, or odors.

PHYSICAL DEMANDS

• Work Type: Light – exerting up to 20 lbs occasionally, 10 lbs frequently.
• Mobility: Minimal movement required; may work in a multilevel building with stairs.
• Posture: Sitting for extended periods (up to two hours); minimal stooping or bending.
• Reaching: Occasional overhead and horizontal reaching.
• Vision & Hearing: Adequate to perform essential functions; frequent auditory and verbal communication.
• Coordination & Dexterity: Frequent use of hands and moderate equipment operation.

Job Tags

Full time,

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