Billing Specialist

OBJECTIVE

The Billing Specialist will utilize their knowledge of revenue cycle management, commercial and Illinois Medicaid billing requirements, and medical billing systems to support the company's medical billing and revenue operations. This role requires strong attention to detail, problem-solving skills, and the ability to work within multiple billing platforms and processes.

This is a dynamic role with many opportunities for growth and development. We are seeking a Billing Specialist who is eager to join the team and contribute to improving the efficiency, accuracy, and overall financial performance of Elevation Individual and Family Therapy, PLLC.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Provide effective communication to pay sources and clients regarding billing needs.
• Correspond with Employee Assistance Programs (EAP) and insurance payers, as well as clients, regarding claim processing and payment.
• Respond to internal and external emails in a timely fashion, within 24-48 hours upon receipt of email.
• Maintain an organized record of insurance and client payment documents.
• Provide reports to administrative team including, but not limited to:
  • Outstanding client balances
  • Outstanding insurance claims
  • EAP Services/Unit Compliance

• Oversee revenue cycle to assist with maintaining the financial health of the company.
• Assist with the verification of insurance benefits for clients.
• Establish foundational, consistent billing procedures.
• Manage all outstanding debt collections and correspondence with third party debt collectors.
• Submit billing rosters as required by Medicaid and Managed Care Organizations
• Assist with insurance credentialing needs if time allotment for primary work responsibilities permit, and upon approval and discussion with CEO

• Other tasks as designated by Chief Executive Officer if time allotment for primary work responsibilities permit

Requirements:

• Must have a high school diploma or GED.
• 1-2 years of revenue cycle management experience.
• Effective communication skills.
• Excellent problem-solving skills.
• Ability to interact effectively with all internal and external customers.
• Proficient in Microsoft Office Suite or related software.
• Excellent organizational skills and attention to detail.
• Skilled at establishing and maintaining positive and effective work relationships with co-workers, clients, members, providers, and other business partners.
• Excellent analytical, decision-making, and problem-solving skills.