Billing Specialist

• Perform analytical work on denied claims
• Research insurance payer requirements
• Solve problems and find innovative solutions
• Make and receive calls professionally
• Monitor reports to identify trends, concerns, and areas of improvement
• Discuss findings, with potential reporting to management
• Address denied claims sent to insurance for payment
• Provide medical documentation to insurance carriers
• Address insurance audits
• Maintain HIPAA/patient confidentiality
• Complete assigned billing reports independently after training
• Answer phone calls independently
• Collaborate in supervisor Q&A sessions, team meetings, and relevant support-team meetings
• Spend approximately 25% of time collaborating and 75% working independently
• Complete training on internal programs, claim-denial resolution strategies, key metrics/KPIs, and compliance rules

Urology Billing Representative

• Process home health billing for multiple payers
• Manage accounts receivable from admission through satisfaction of balance due
• Follow up on denied claims and delinquent accounts
• Perform collections and payment processing
• Ensure accurate billing for Medicare, Medicaid, commercial insurance, and private-pay claims
• Maintain patient billing files and EMR billing notes
• Perform light typing and correspondence
• Organize and perform work effectively and efficiently
• Maintain and promote customer satisfaction
• Demonstrate the Agency’s mission, vision, and values
• Perform other duties as assigned
• Work under the supervision of the Revenue Cycle Director

• Execute monthly billing cycles across multiple business segments using SAP BRIM
• Review and validate rating, charging, and invoicing data for accurate pricing, taxes, discounts, and contractual terms
• Perform pre- and post-billing reconciliations to ensure invoice integrity and completeness
• Identify, document, and resolve discrepancies in source data, usage feeds, or customer hierarchies
• Conduct billing data audits for compliance with company policies, SOX controls, and tariff or contractual obligations
• Partner with IT, Finance, and Product teams to maintain accurate BRIM master data
• Support revenue assurance by reconciling billed versus unbilled usage and validating invoice-level revenue alignment
• Participate in User Acceptance Testing and Operational Readiness Testing during releases, migrations, and product implementations
• Identify process improvements and automation opportunities
• Develop and maintain billing dashboards and KPI reports
• Collaborate with Accounting, Collections, Customer Service, and Revenue Operations on billing dispute resolution
• Communicate recurring issues, root causes, and recommended process enhancements to leadership
• Report to the Billing Supervisor within the Billing Operations organization

Billing Specialist jobs in North Carolina

Urology Billing Representative

Billing Specialist

Billing Analyst