Billing Specialist

Sweetser is seeking a Billing Specialist to join the Patient Accounts team

This position maintains records of financial transactions by establishing and posting transactions, billing for services, and participating in accounts receivable collection.

Experience with Inovalon Clearinghouse preferred

**THE IDEAL CANDIDATE WILL**:

- Document financial activity by entering transactions information to the MIS system.
- Communicate with appropriate parties to obtain information needed for billing, changes to the client’s eligibility for benefits, authorization coordination, and other information that affects the validity and collection of fees.
- Bill for services by preparing bills in HCFA1500, UB92 or invoice formats, as appropriate, for all payers.
- Submit billing to payers in accordance with the established billing schedules.
- Maintain patient and funding source billing and related documentation.
- Perform all follow-up required for all claims generated in accordance with established collection standards on accounts until claims are paid.
- Initiate collection on past-due self-pay accounts in accordance with the established collection procedures.

**EDUCATION REQUIREMENTS**:

- High school diploma required.
- Associate’s degree in business or significant related training and experience preferred.

**GENERAL REQUIREMENTS**:

- One (1) year of experience in health care billing or completion of a health care billing certificate program that required an internship of a minimum of one hundred eighty (180) hours.
- Experience in the mental and behavioral health care industry preferred.
- Experience with computerized billing systems, spreadsheet and word processing software.
- Good oral and written communication skills.
- Intermediate computer skills.
- Persons with lived experience in the Mental Health and/or Substance Abuse system are encouraged to apply.