Billing & Collections Specialist

We are seeking a detail-oriented Billing Specialist to support the full lifecycle of client records, billing, and collections. This role is responsible for maintaining accurate client data, processing billing functions, and ensuring compliance with healthcare regulations and reimbursement requirements.

Key Responsibilities

• Maintain and manage client demographic, financial, and billing information within the electronic medical record (EMR) system
• Process the full billing cycle, including claim preparation, submission, review, and follow-up
• Verify insurance benefits and coverage with payers as needed
• Audit services prior to submission to ensure accurate coding, documentation, and reimbursement eligibility
• Post payments, denials, recoupments, and adjustments; research and resolve account discrepancies
• Prepare and submit insurance claims (electronic and paper), including corrections and resubmissions
• Support clinical staff with insurance authorizations and required documentation for ongoing services
• Track and manage treatment request forms and authorization timelines
• Respond to client, staff, and insurance carrier inquiries regarding billing, balances, and records
• Maintain compliance with medical, legal, ethical, and regulatory standards
• Assist with credentialing processes and maintain updated provider information in systems
• Coordinate with collection agencies and assist with delinquent account management
• Ensure accurate and secure handling of sensitive client records in compliance with confidentiality laws

Qualifications

• Associate’s degree plus 1+ years of relevant experience, or equivalent combination of education and experience
• Experience with healthcare billing, insurance reimbursement processes, and client record management
• Strong attention to detail and organizational skills
• Ability to audit, verify, and reconcile billing and financial data accurately
• Strong communication skills, with the ability to interact professionally with clients, staff, and external partners
• Proficiency with Microsoft Office and data entry systems; EMR experience preferred
• Ability to manage multiple priorities and work both independently and collaboratively