Billing Specialist

Location: Full-Time
Reports To: Controller

About the Role

We are seeking a detail-oriented Billing Specialist to support healthcare billing, revenue cycle operations, and client account management. This role serves as the primary liaison between clients, insurance carriers, clinical teams, and our outsourced billing partner to ensure accurate claim processing, reimbursement, collections, and account resolution.

Key Responsibilities

• Coordinate insurance billing activities, including claim tracking, denial resolution, and reimbursement follow-up.
• Verify insurance eligibility, benefits, and authorizations.
• Process client payments, maintain accurate billing records, and reconcile accounts receivable.
• Investigate and resolve billing discrepancies, claim denials, and outstanding balances.
• Manage client onboarding, authorizations, and billing information within the electronic medical record system.
• Respond to client billing inquiries and establish payment arrangements as needed.
• Maintain compliance with HIPAA, payer requirements, and organizational policies.
• Support month-end reconciliation, reporting, audits, and process improvement initiatives.

Required Qualifications

• High school diploma or equivalent required; Associate's degree preferred.
• Minimum 2 years of experience in medical billing, healthcare revenue cycle management, insurance verification, or accounts receivable.
• Experience with commercial insurance, Medicaid, managed care plans, and private-pay billing.
• Working knowledge of claims processing, payment posting, denials, appeals, authorizations, and insurance eligibility verification.
• Experience with electronic health record (EHR) or practice management systems.
• Proficiency with Microsoft Office (Excel, Outlook, Word, and Teams).
• Strong organizational, analytical, and customer service skills.

Preferred Qualifications

• Experience with CentralReach or similar healthcare practice management systems.
• Background in behavioral health, ABA, therapy services, pediatric healthcare, or nonprofit healthcare.
• Experience with insurance credentialing and provider enrollment.
• Knowledge of revenue cycle management best practices and financial reconciliation processes.

What Success Looks Like

• Accurate and timely billing and collections activities.
• Effective resolution of billing and authorization issues.
• Strong collaboration with clients, insurance companies, clinical teams, and billing partners.
• High attention to detail, accountability, and commitment to exceptional customer service.

This is an excellent opportunity for a healthcare billing professional who enjoys problem-solving, working with insurance and reimbursement processes, and contributing to a mission-driven organization.