Billing Specialist

Overview Are you looking for a career where you can make a difference in the lives of individuals in recovery for mental health and substance use disorders? Do you thrive in a healthy and collaborative work environment where you can grow personally and professionally? Join our team of dedicated professionals in fostering hope and transforming lives. We are seeking an experienced Billing Specialist to join our team. In this role, you will be responsible for managing the billing and accounts receivable functions, including payment posting and other billing related functions. Your primary goal will be to ensure accurate and timely billing and posting of payments. Develop a career dedicated to connection, compassion, and community. Community Health Alliance is an employer that offers career opportunities with purpose. At Community Health Alliance our employees are our greatest asset. We offer a comprehensive benefit program designed to support you and your family. We are proud to offer a comprehensive benefits package. Benefits Affordable medical, dental and vision insurance Company paid Health Reimbursement Arrangement (HRA) Generous paid time off (PTO) & paid holidays Retirement plan with company match up to 6% Career ladder Start here and build a lifelong career Company paid life insurance This is a hybrid position that requires 90 days of in office training. After successful completion of training, eligibility to work a hybrid remote/in-office schedule. Responsibilities Monitor and track claim status, follow up on unpaid or denied claims and resubmit claims as necessary. Reconcile accounts receivable on a regular basis and follow up with clients or insurance companies regarding outstanding balances. Post payments received from insurance companies and clients into the billing system accurately. Download all insurance payments and post them into the EMR. Balance all checks to ensure all money has been distributed correctly. Make adjustments to the claims while posting the payments to ensure the balance on the EOB and in the EMR match. Make any sequestration adjustments as needed. Responsible for all contractual obligations write offs, contractual adjustments, etc. Identify discrepancies while posting payments to determine if fee schedules have changed or if new codes are being denied and escalate to the appropriate team member. Maintain Bank Log to ensure that all insurance deposits have been received prior to posting EOBs received in Availity. Assign unpaid claims to the appropriate team member for timely follow-up. Work with payers when a check or remit is missing. Retrieve all 835s and EOBs and upload them into their appropriate folders. Ensure compliance with billing and coding regulations, including HIPAA privacy rules and billing standards set by regulatory agencies. Qualifications High School graduate or equivalent Proven experience as a Billing Specialist in a healthcare setting, including knowledge of medical billing procedures and insurance claim processing. Experience in contractual adjustments, sequestration and balancing checks with the bank and posting. Familiarity with medical terminology, CPT, ICD and HCPCS coding. Proficiency in billing software and electronic medical (EMR) systems. Experience with Medicare and Medicaid billing regulations. 3 years experience in payment posting. Excellent communication and interpersonal skills to interact effectively with clients, insurance companies and healthcare providers. Effective communication skills, both verbal and written. Excellent attention to detail and organizational skills. Identifies potential problems proactively and utilizes critical thinking and problem-solving skills to find a resolution. Maintains confidential information and materials appropriately per agency standards and regulatory requirements. Ability to manage relationships with various Insurance payers. Certifications None required; Certified Professional Biller (CPB) or Certified Professional Coder (CPC) preferred. About Community Health Alliance is a leader providing the highest industry standards for health and human services. Our agencies of Sojourner Recovery Services and TLC offer a complete continuum of mental health and substance use treatment services. We equip our patients with the resources, services, and tools they need to achieve their goals and reach their highest personal potential. Community Health Alliance is proud to play a key role in helping individuals achieve a brighter and healthier future. Through innovation, integration, and collaboration of our agencies, the Community Health Alliance strengthens and empowers the individuals, families, and communities we serve. Community Health Alliance is a drug testing Equal Opportunity/ Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status, or any other characteristic protected by law. #J-18808-Ljbffr