Billing Specialist

Position Title:

Billing Specialist

Department of Labor Status:

Full-Time [FTE]

Pay Class:

Hourly [HRL]

Pay Frequency:

Bi-Weekly

Benefit Accrual Profile:

Eligible

FSLA Exempt Status:

Non-exempt

Labor Allocation:

1000-700-100-FTE

Work Location:

Main Office

Job Description

Job Summary: The Billing Specialist plays an important role in supporting Healing House’s programs by ensuring services are accurately documented, billed, tracked, and reconciled. We are looking for someone who is organized, comfortable working with numbers and spreadsheets, and able to manage deadlines in a fast-paced environment. 

General Accountabilities:

• Collecting and auditing participants' files.

• Running services provided reports in the database to obtain detailed summaries.

• Determining available funding for programs.

• Creating monthly billing reports using data from the database.

• Maintaining files and records of billing.

• Managing the budget for services provided.

• Tracking assessment appointments.

• Calculating billing amounts for services.

• Coordinating with state funding services for vouchers.

• Creating housing and group logs.

• Adhering to all Department of Health standards.

• Coordinate with healthcare providers to ensure accurate coding of medical services and procedures.

• Maintain detailed records of coding and billing activities for auditing and reporting purposes.

• Utilize electronic health record systems to input and retrieve billing data efficiently.

• Review and verify insurance eligibility and coverage for participants.

• Communicate effectively with participants regarding billing inquiries and payment arrangements.

• Collaborate with finance department to reconcile accounts and resolve financial discrepancies.

• Prepare and analyze financial reports related to accounts receivable and billing performance.

• Assist in the preparation of financial forecasts and budgets related to billing and accounts receivable.

• Implement best practices for revenue cycle management to optimize cash flow and minimize revenue loss.

• Conduct training sessions for staff on coding updates, billing procedures, and compliance requirements.

• Support cross-functional teams in resolving billing-related issues and improving operational efficiencies.

• Maintain compliance with HIPAA and other regulatory standards governing healthcare billing practices.

Key Responsibilities Include:

• Processing and reviewing billing for behavioral health and recovery support services

• Reviewing documentation for accuracy and billing requirements

• Entering and tracking billing information in electronic systems

• Reconciling claims, payments, and billing reports

• Identifying and helping resolve billing errors or discrepancies

• Maintaining accurate spreadsheets and program records

• Working closely with program and administrative staff to meet billing deadlines

• Maintaining confidentiality and compliance with HIPAA and organizational requirements 

Skills/Job Qualifications

Job Qualifications:

• Education: High School Diploma or equivalent; associate’s degree in accounting or related field preferred.

• Experience: One to two years of related experience in billing and accounts receivable, preferably in a healthcare or non-profit setting.

Skills:

• Proficiency in accounting software and databases.

• Strong organizational skills.

• Attention to detail and accuracy in data entry.

• Excellent verbal and written communication.

• Ability to manage multiple tasks and meet deadlines.

• Strong problem-solving skills.

• Knowledge of Department of Health standards and regulations.

• Proficiency in Microsoft Office Suite (Word, Excel, Outlook).

What We’re Looking For:

• Strong attention to detail and commitment to accuracy

• Excellent organizational and time-management skills

• Ability to meet deadlines and manage multiple priorities

• Proficiency with computers, Microsoft Excel, Google Suite, and data entry

• Professional demeanor with strong interpersonal and communication skills

• Ability to work collaboratively and respectfully as part of a team

• Strong problem-solving skills and willingness to take initiative

• Billing, healthcare, behavioral health, Medicaid, or related experience preferred

• Ability to learn new systems and processes quickly

• Commitment to confidentiality, professionalism, and the mission and values of Healing House 

Physical Demands

• Physical Stamina: The role may require prolonged periods of sitting, standing, walking, and being actively engaged with patients and employees during work and employee interactions.

• Lifting and Carrying: There may be occasional requirements to lift or carry lightweight equipment or materials, such as tools or paperwork.

• Manual Dexterity: The position may involve tasks that require the use of hands and fingers, such as typing, writing, and handling materials.

• Visual and Auditory Acuity: The may need to closely observe patients and accurately interpret verbal and non-verbal cues during calls or interviews

• Mobility: The role may involve the ability to move freely within the facility to conduct interviews, attend meetings, and other office duties.

• Sensory Abilities: This position may require the ability to perceive and respond to environmental and situational factors that are relevant to patient interactions.