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We are seeking a detail-oriented Billing Specialist to support the full lifecycle of client records, billing, and collections. This role is responsible for maintaining accurate client data, processing billing functions, and ensuring compliance with healthcare regulations and reimbursement requirements.
Job Responsibility
Maintain and manage client demographic, financial, and billing information within the electronic medical record (EMR) system
Process the full billing cycle, including claim preparation, submission, review, and follow-up
Verify insurance benefits and coverage with payers as needed
Audit services prior to submission to ensure accurate coding, documentation, and reimbursement eligibility
Post payments, denials, recoupments, and adjustments
research and resolve account discrepancies
Prepare and submit insurance claims (electronic and paper), including corrections and resubmissions
Support clinical staff with insurance authorizations and required documentation for ongoing services
Track and manage treatment request forms and authorization timelines
Respond to client, staff, and insurance carrier inquiries regarding billing, balances, and records
Maintain compliance with medical, legal, ethical, and regulatory standards
Assist with credentialing processes and maintain updated provider information in systems
Coordinate with collection agencies and assist with delinquent account management
Ensure accurate and secure handling of sensitive client records in compliance with confidentiality laws
Requirements
Associate’s degree plus 1+ years of relevant experience, or equivalent combination of education and experience
Experience with healthcare billing, insurance reimbursement processes, and client record management
Strong attention to detail and organizational skills
Ability to audit, verify, and reconcile billing and financial data accurately
Strong communication skills, with the ability to interact professionally with clients, staff, and external partners
Proficiency with Microsoft Office and data entry systems
EMR experience preferred
Ability to manage multiple priorities and work both independently and collaboratively
What we offer
Medical, vision, dental, and life and disability insurance