Billing Specialist

Job Description

Job Description

The Billing Specialist is responsible for performing specified financial tasks in support of the day-to-day operations of the Billing/Revenue Cycle Department. We’re looking for someone with a strong internal drive to solve problems, drive collections, is a team player, and ensure every claim is handled with care and urgency.

Following training, this will be a hybrid position offering the opportunity to work 3 days in the office and 2 days remotely each week.

Position Responsibilities may include, but not limited to

• Create billing reports of assigned agencies
• Submit accounts receivable claims and/or invoices for weekly/monthly billing of assigned agencies
• Reconciliation of assigned state or local agencies
• Research and resubmit of billings to assigned agencies
• Review quality assurance of all referrals or updated clients from assigned state or local agencies
• Make outbound & inbound calls, emails to assigned state or local agencies with the purpose of securing correct information regarding new referrals, updated clients, and billings
• Responsible for executing complex billing tasks, mentoring junior staff, and leading cross-functional initiatives
• Reduce payment agency backlog
• Perform in-depth audits of project data to identify and resolve billing discrepancies
• Demonstrate successful performance through accuracy, timeliness, and customer satisfaction metrics
• Utilize advanced Excel functions (e.g., VLOOKUP) and reporting tools in CRM and SharePoint
• Manage complex billing scenarios including denials, rejections, and aging accounts
• Collaborate with Posting teams to resolve discrepancies and support month-end close
• Prepare and submit electronic claims, paper claims, and invoices (CMS-1500, UBs, invoices, and payer portals, etc.)
• Resolve claim rejections timely and resolve claim denials through research, appeals, claim corrections/resubmission, and follow-up with health plans
• Ensure accurate and compliant billing, following specific regulations of multi-state Medicaid and MCO's, Medicare Advantage, and Older Americans Act programs
• Responsible for ensuring aged outstanding balances of assigned payers is kept within department standards
• Participate in process improvement initiatives. Collaborate across teams to resolve issues, claims denials, and aging
• Other tasks as assigned, including but not limited to, assisting with projects that impact collections or write offs

Required Skills and Experience

• High School Diploma or GED
• 2+ years of work-related experience in healthcare related field, ie, healthcare billing institutional and professional claims, patient registration, and/or patient access
• Intermediate level Excel skills
• Strong oral and written communication skills
• Ability to multi-task, set priorities, and pays close attention to detail
• Strong ability to work with team members across multiple departments
• Ability to work unsupervised with strong critical thinking and problem-solving skills
• Experience with Waystar, CRM, D365, and/or electronic health record platforms
• Must have a wired internet connection using an ethernet port. Broadband internet wired to the home is required - Cable Modem/service or Fiber Optic. No Satellite, 4/5G, or DSL circuits
• Must have a quiet workspace that is free from distraction

Preferred Skills and Experience

• Bachelor's degree in healthcare administration, medical administrative assistance, or healthcare finance
• Previous experience with electronic claims, such as electronic 835/837 claim and remit files, Zirmed, and/or secure payer web portals
• AAHAM and/or HFMA certification
• Knowledge of CMS regulation and strong familiarity with healthcare billing standards and compliance
• Experience with Waystar, CRM, D365, and/or electronic health record platforms

Physical Requirements

• Repetitive motions that include the wrists, hands and/or fingers
• Sedentary work that primarily involves sitting, remaining in a stationary position for prolonged periods
• Visual perception to perform job including peripheral vision, depth perception, and the ability to adjust focus

Company Overview

Mom’s Meals is a home-delivered meal service providing fully prepared, refrigerated meal solutions direct to homes nationwide since 1999. We provide seniors, patients recovering post-discharge and those managing a chronic condition with tailored nutrition solutions to manage their specific needs. If you are passionate about the well-being of others and have a strong sense of community, Mom’s Meals could be the place for you! We are a family operated business looking for fun, compassionate, and friendly people who want to make a difference in the lives of others.

EEO

Mom’s Meals complies with all applicable federal and state non-discrimination laws. All qualified applicants shall receive consideration for employment without regards to race, religion, national origin, ancestry, color, gender, age, disability, sexual orientation or military status.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.