Billing Specialist

• Perform specified financial tasks supporting day-to-day Revenue Cycle Department operations
• Create billing reports for assigned agencies
• Submit accounts receivable claims and/or invoices for weekly/monthly billing
• Reconcile assigned state or local agencies
• Research and resubmit billings
• Review quality assurance of referrals or updated clients
• Contact assigned state or local agencies by phone and email to obtain correct referral, client, and billing information
• Execute complex billing tasks, mentor junior staff, and lead cross-functional initiatives
• Reduce payment agency backlog
• Audit project data to identify and resolve billing discrepancies
• Meet accuracy, timeliness, and customer satisfaction metrics
• Use advanced Excel functions such as VLOOKUP and reporting tools in CRM and SharePoint
• Manage billing scenarios involving 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, including CMS-1500s, UBs, and payer portals
• Resolve claim rejections and denials through research, appeals, corrections/resubmission, and health-plan follow-up
• Ensure accurate and compliant billing under multi-state Medicaid and MCO, Medicare Advantage, and Older Americans Act regulations
• Maintain aged outstanding payer balances within department standards
• Participate in process improvement initiatives and collaborate across teams on issues, denials, and aging
• Assist with projects affecting collections or write-offs

Explore Billing Specialist at Mom's Meals | A Purfoods Company. Review requirements and application details.