Position: Billing Specialist
Position Summary:
As a member of the Billing & Payment Posting Team, you have an organized mind and resolute spirit. You understand decision trees and possess the rare ability to analyze and organize available billing before processing it. You also understand the importance of promptness and can consistently achieve recurring goals.
By billing out claims for provided services accurately and on time, you serve as the financial heartbeat of the organization. Your work ensures steady cash flow, allowing leadership to maintain daily operations and plan for future growth while supporting the continuity of services for families.
Key Responsibilities
- Prepare, review, and submit claims accurately and in compliance with payer rules, coding standards, and organizational policies.
- Ensure services are billed within established timelines, targeting an average of 5 days from the date of service.
- Monitor daily billing queues and prioritize workload to ensure at least 75% of all monthly services are billed within the same month, and 90% by first billing run of following month.
- Re-bill claims promptly when notified of insurance changes, ensuring corrections are submitted within established turnaround times
- Maintain a high clean claim rate by carefully verifying patient information, payer details, and coding before submission.
- Monitor clearinghouse rejections, correct errors, and resubmit claims quickly to minimize delays.
- Collaborate with Credentialing, Eligibility, Authorization, and AR teams to resolve front-end issues contributing to billing delays or denials.
- Maintain accurate documentation of billing activities, corrections, and resubmissions within the billing system.
- Support leadership in tracking billing-related KPIs by providing data and insights on trends, bottlenecks, and process improvements.
- Actively identify opportunities to reduce recurring billing errors and contribute to root cause resolution across the revenue cycle team.
- Uphold HIPAA compliance and confidentiality standards in all billing activities.
