BILLING SPECIALIST

CHOR YFS Pre - Billing Specialist - Job Description

Department : CHOR YFS Administration

Reports To : CHOR YFS VP Administration

FLSA Status : Non-Exempt

Location : Hybrid - Remote / Office

Position Summary

The Pre-Billing Specialist is responsible for coordinating Pre-Billing operations to ensure timely and accurate submission of claims. This position supports the full revenue cycle process by managing the Pre-Billing requirements for CHOR YFS programs, assisting with account reconciliations, and maintaining compliance with payer requirements and internal policies. The role also provides administrative and operational support to the CHOR YFS administrative team, contributing to the efficiency and accuracy of financial documentation and reporting across programs.

Essential Duties and Responsibilities

• Verify insurance coverage, accuracy of billing data, payer setup, and demographics for those in services prior to submission for billing.
• Prepare, review, and submit accurate Pre-Billing information for billing Medicaid, County, Private Insurance, and Managed Care Organizations.
• Research and resolve rejections, denials, or unpaid claims with the help of Revenue Cycle Department.
• Investigate account issues, including coordination of benefits, and insurance issues.
• Maintain detailed and organized records and audit trails for compliance review.
• Support budget, grant, and financial documentation processes as assigned.
• Collaborate with administrative and fiscal teams to reconcile A / R and A / P accounts.
• Perform periodic audits and report findings, identifying opportunities for process improvement.
• Act as liaison with internal departments and programs to resolve billing-related inquiries.
• Assist with developing and implementing Pre-Billing policies, procedures, and compliance standards.
• Provide administrative coverage and support for other business functions when needed.
• Maintain confidentiality and adhere to HIPAA, OSHA, and organizational policies at all times.

Qualifications

Education :

Experience :

Preferred :

Skills and Abilities

Physical and Working Conditions

Compliance and Conduct

About Company :

Apis Services, Inc. (a wholly owned subsidiary of Inperium, Inc.) provides a progressive platform for delivering Shared Services to Inperium and its Constellation of affiliate companies. Allowing these entities to advance their mission and vision. By exploring geographical program expansion and focusing on quality outcome measures to create cost savings that result in reinvestment into the organizations stakeholders through capacity creation and employee compensation betterment.

Apis Services, Inc. and affiliate's provide equal employment opportunities for all employees and applicants for employment in compliance with all federal and all applicable state and local laws and regulations, including nondiscrimination in hiring and employment. All employment decisions are made without regard to race, color, religion, gender, national origin, ancestry, age, sexual orientation, gender identity and expression, disability, genetic information, marital status, pregnancy / childbirth, veteran status or any other basis protected by law. This policy of non-discrimination and equal employment opportunities extends to every phase and aspect of hiring and employment.