Billing Specialist

Billing SpecialistFamilies & Youth Innovations Plus (FYI+)Position: Full-TimeStatus: Non-Exempt / Hourly Hourly Rate: $15.38 - $18.62 (3 levels based on experience and education) Department: Finance / Billing DepartmentJob SummaryThe Billing Specialist is responsible for managing the accurate preparation, submission, and tracking of claims and payments for services rendered. This role ensures that billing processes are completed promptly and in compliance with organizational policies, contracts, and payer requirements. The Billing Specialist reviews billing data for accuracy, submits claims or invoices, monitors accounts receivable, and follows up on outstanding balances or denied claims. They also assist with payment posting, reconciliation, and reporting, while communicating with clients, payers, and internal departments to resolve billing discrepancies.What You'll Do:Submit electronic or paper claims to insurance companies or payersVerify claims meet payer requirements before submissionEnsure billing data is accurate, complete, and compliant with contracts or payer rulesCorrect and resubmit denied or rejected claimsInvestigate reasons for denialMake corrections and resubmit as neededRecord incoming payments and apply them correctly to accountsReconcile payments against invoices and account balancesIdentify and resolve discrepanciesMonitor outstanding balances and follow up on overdue accountsCommunicate with payers regarding unpaid invoicesAssist with collection efforts when necessaryEnter charges into billing systems on time, when needed for specific programsMaintain accurate billing records and audit trailsUpdate account information in billing systemsEnsure compliance with company policies and regulationsRespond to billing inquiries professionally and timely mannerAssist with monthly eligibilityCoordinate with internal departments (insurance specialist, intake, finance, etc.)NMStar registers every client who doesn't have insurance.What You Need:High school diploma or GED equivalentMinimum of 2–3 years of experience in billing, accounts receivable, or Mental health revenue cycle operationsProficiency with Electronic Health Record (EHR) systems and/or medical billing softwareStrong computer skills, including Microsoft Office Suite (Word, Excel, Outlook)Working knowledge of insurance billing processes, claims submission, and payment postingKnowledge of HIPAA regulations and patient confidentiality requirementsStrong attention to detail and accuracy in financial and billing data entryExcellent verbal and written communication skills for payer and client interactionsAbility to analyze and resolve claim denials, billing discrepancies, and account issuesAbility to multitask and manage high-volume workloads in a fast-paced environment