Medical Billing Specialist

Hybrid Role: Onsite in NYC approximately 2x per month | Mostly Remote
Location: 1460 Broadway, New York, NY 10036
Schedule: Monday-Friday, 8:30 AM-5:00 PM (No weekends)
Pay Rate: $21-$24/hour
Employment Type: Full-Time | Contract-to-Hire Opportunity
EMR/System: CentralReach

A growing behavioral health organization is seeking a Medical Billing Specialist to join a high-performing billing team during a period of expansion and restructuring. This is a newly created position designed to strengthen front-end billing operations, improve claim accuracy, and support high-volume submission workflows.

This role is heavily focused on clean claim submission, billing integrity, and system accuracy-not AR follow-up or collections. The ideal candidate is detail-oriented, highly organized, and comfortable working independently within structured submission schedules.

The team operates in a hybrid model, with collaboration in-office approximately twice per month. Strong preference is given to local candidates due to team coordination needs.

High-Volume Claim Submissions

• Dedicate designated days each week to submitting large batches of claims through CentralReach
• Process hundreds of claims independently with minimal interruptions
• Strictly adhere to payer rules and submission timelines

Billing Scrubs & Timesheet Audits

• Review and scrub billing files and timesheets for accuracy, compliance, and completeness
• Ensure correct hours, authorization alignment, and policy adherence prior to submission

Reporting & Data Analysis

• Work through high-volume billing reports to identify discrepancies and data inconsistencies
• Track trends and ensure accounts remain current and accurate

Account Setup & Research

• Verify correct account configuration and billing setup
• Research missing demographic, clinical, or insurance details required for successful claim submission

Rejection Resolution & Root Cause Analysis

• Investigate front-end claim rejections and clearinghouse errors
• Identify patterns and contribute to long-term resolution of recurring issues

Cross-Team Communication

• Communicate findings, trends, and system issues to leadership and team members
• Support continuous improvement of billing workflows and processes

• Strong computer literacy and comfort navigating multiple systems
• High proficiency in Excel (sorting, filtering, and working with large datasets)
• Ability to learn new systems quickly and adapt to non-automated workflows
• Prior exposure to medical billing or revenue cycle operations preferred, but not required
• Strong attention to detail and commitment to accuracy
• Self-starter with strong work ethic and accountability

• Experience with Applied Behavior Analysis (ABA) or behavioral health billing is a plus
• Familiarity with CentralReach strongly preferred

• Hybrid schedule: onsite approximately twice per month
• Structured billing days dedicated solely to claim submissions (no phone-heavy AR work)
• Collaborative team environment with clear workflows and defined responsibilities
• No weekend work

• Company-issued laptop/equipment provided
• $50/week IT equipment deposit deducted for 10 weeks ($500 total)
• Deposit fully refunded after 10 weeks or upon equipment return/conversion

• Newly created role due to team growth and restructuring
• Strong opportunity for internal advancement
• Stable weekday schedule with no weekends
• Hybrid flexibility with a collaborative team culture
• Exposure to high-volume, structured billing operations in a growing organization

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.