Billing Specialist

Billing Specialist

Reports to: Senior Revenue Cycle Manager

We are a pediatric non‑profit organization seeking a billing specialist to join our professional team. The billing specialist will manage all matters and communications relative to insurance claims on behalf of Texas Hearing Institute.

Hours Weekly: 40

Monday – Friday: 8:00 am – 5:00 pm

Starting Salary: Determined by experience.

FLSA Status: Non‑exempt

• Health & Dental Insurance
• Life Insurance
• Long Term Disability Insurance
• 403(b) Retirement Plan
• 12 Paid Holidays
• 21 Paid Time Off Days

• Stays focused on maximizing revenue and reducing contractual allowances/discounts/MWS and other (grants) write‑offs at all times.
• Files all THI claims, appeals, and corrected claims as needed.
• Handles all communications with Insurance/Medicaid provider relations regarding underpayments and/or denials through to final resolution.
• Enters and posts all service‑related (program) payments into IMS software.
• Regularly reviews all client accounts and keeps them clean, including notifying clients of balances due, issuing check requests for refunds due, or making necessary adjusting entries.
• Assists Senior Revenue Cycle Manager in Accounts Receivable (A/R).
• Assists Senior Revenue Cycle Manager with awareness of insurance/Medicaid policy and/or contractual changes, notifying management and/or program directors as changes occur.
• Prepares and processes insurance claims timely and accurately for government, commercial, and managed care payers.
• Reviews and distributes corrected claims.
• Resolves claim edits via claim edit work queues and/or external billing software.

• Acts as backup to THI Verification Specialist and Front Desk (Receptionist) in their absence and/or as needed.

• Supports co‑workers and engages in positive interactions.
• Communicates professionally and timely with internal and external customers.
• Demonstrates friendliness by smiling and making eye contact when greeting all customers.
• Provides helpful assistance in anticipating and responding to the needs of our customers.
• Collaborates with customers in planning and decision making to result in optimal solutions.
• Stays calm under pressure and deals effectively with difficult people.

• High school diploma.
• Must have three‑plus years of claims (insurance billing) experience.

• Knowledge and acquired usage of Microsoft standard programs; in particular, Microsoft Word and Excel.
• Good communication skills, particularly with inter‑departmental communications.

• Verbal and written communication skills.
• Professional personal presentation.
• Standard PC usage.
• Office organization.
• Reliability.

• Internet—using the internet for filing claims, gathering information, and communicating.
• Spreadsheets—knowledge and ability to create, modify, and electronically transmit.
• Email and fax machine knowledge and familiarity.

• Desktop computers.
• Laptop computers.
• iPad.
• Scanner.
• Fax machine.
• Copy Machine.
• Postage Meter.

• Internet.
• Microsoft Word and Excel.
• IMS (program software) – onsite training.

Mid‑Senior level

Full‑time

Other

Non‑profit Organizations