Billing Specialist

Job Details Job Location: Fairfield, OH 45014-1844 Position Type: Full Time Education Level: High School Job Shift: Any Community Health Alliance is seeking an experienced Billing Specialist to manage 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. If you enjoy helping people, thrive in a fast-paced environment, and take pride in providing exceptional customer service, we'd love to have you on our team. Why Join Community Health Alliance? At Community Health Alliance, our Billing Specialists are more than office professionals—they are an essential part of the revenue cycle and a vital support to the organization's ability to provide quality care. Through accuracy, attention to detail, and strong follow-through, you ensure insurance and client payments are posted correctly, accounts are reconciled, and claims and outstanding balances are addressed in a timely manner. We provide a comprehensive benefits package designed to support you and your family. 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% Company paid life insurance Mileage reimbursement A collaborative and mission driven culture Opportunities for professional growth and development Employee training and continued education opportunities 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. What You'll Do 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 an adjustment 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. Look for any discrepancies while posting payments to identify if fee schedules have changed or if new codes are being denied that would need to be escalated to the correct team member to investigate the issue. Maintain Bank Log to ensure that all insurance Deposits have been received prior to posting EOBs received in Availity. Assign any unpaid claim to the appropriate team member so that they can follow up on them timely. Work with the payers when a check or remit is missing. Retrieve all 835, and EOB’s 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. Work the no pay report. Assist with claim denials. Qualifications High School graduate or equivalent. 3 years’ experience in payment posting. Certified Professional Biller (CPB) or Certified Professional Coder (CPC) preferred. Proven experience with billing 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. 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. Community Health Alliance is a leading provider of behavioral health and human services, delivering high-quality mental health and substance use treatment across a comprehensive continuum of care. We are committed to providing compassionate, evidence-based services that empower individuals to achieve recovery, improve their well-being, and reach their highest potential. Our integrated approach brings together prevention, treatment, recovery support, and community-based services to ensure individuals and families have access to the care they need, when they need it. Through innovation, collaboration, and a person-centered philosophy, we work to improve access to care, strengthen communities, and create lasting positive outcomes. At Community Health Alliance, we believe that every person deserves the opportunity to build a healthier, more hopeful future. Our dedicated team is committed to making a meaningful difference by delivering exceptional care, fostering hope, and empowering the individuals, families, and communities we serve. Community Health Alliance, is an Equal Opportunity/Affirmative Action Employer and 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