Billing Specialist

Position Summary The Part-Time Biller is responsible for timely and accurate medical billing activities, including claim creation, coding verification, payment posting, and follow-up on outstanding accounts. This role ensures compliance with federal, state, and payer-specific guidelines while supporting efficient revenue cycle operations. The ideal candidate has strong attention to detail, knowledge of billing and coding practices, and experience working in behavioral health or medical billing environments.

Essential Duties & Responsibilities

• Prepare, review, and submit medical claims to payers (Medicaid, Medicare, commercial insurance).
• Verify accuracy of coding (CPT, ICD-10) prior to claim submission; collaborate with clinical staff for corrections.
• Monitor claim status, follow up on denials, and complete resubmissions or appeals as needed.
• Post payments, adjustments, and remittances into the billing system.
• Reconcile billing records, resolve discrepancies, and ensure accurate documentation.
• Verify client insurance coverage and eligibility as needed.
• Maintain organized, compliant billing files and adhere to HIPAA and payer regulations.
• Communicate professionally with payers, staff, and clients regarding billing matters.
• Assist with month-end revenue cycle reporting as assigned.
• Support the Billing Manager with additional tasks as required.

Qualifications

High school diploma or equivalent

Knowledge, Skills & Abilities (KSA)

Work Environment