Billing Operations Specialist

View full description

Requirements:

• 2-3+ years of experience in Revenue Cycle Management.
• Strong skills in billing, coding, insurance verification, and claims follow-up.
• Experience in behavioral health/mental health service line and telehealth billing preferred.
• Experience in communicating with payers to resolve issues.
• Proficient with Excel and data analysis.
• Ability to navigate complex workflows.
• Strong attention to detail.
• Strong communication and interpersonal skills.

Responsibilities:

• Review billing activity history and transaction records to answer client billing questions.
• Work cross-functionally with clinicians on coding, billing, insurance verification, and general insurance queries.
• Ensure claims are submitted timely and meet payer requirements.
• Pull reports and analyze claims data to identify trends.
• Support the Director of Revenue Cycle Management in resolving escalated disputes.
• Recommend improvement measures for trending billing issues.
• Collaborate with team members to resolve outstanding issues.
• Assist with reconciliation projects between billing systems and payers.
• Complete other assigned tasks and uphold HIPAA compliance.