We are a nonprofit treatment provider with over 40 years helping individuals overcome health challenges through evidence-based care. The Medical Billing Specialist role ensures accurate and timely billing for services provided, including preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with billing regulations.

Key responsibilities include:

Reconciling billing records for accuracy (authorizations, eligibility, diagnoses, modifiers)
Analyzing daily billing reports and flagging discrepancies
Conducting monthly audits of billable claims to ensure compliance
Submitting claims and following up on outstanding or denied claims
Working with Billing Supervisor and Clinical Department to resolve claim issues and verify documentation
Maintaining client admissions tracking and monitoring authorization requests/extensions
Reviewing group counseling and education session logs for billing accuracy
Using EHR systems (e.g., PCNK, MyEvolv) for billing activities
Staying current with relevant guidelines (Title 22, Title 9, DMC Provider Manual)

Skills and Knowledge:

Medical billing and coding (ICD-10, CPT, HCPCS)
Claims processing and revenue cycle knowledge
EHR/EMR proficiency
Microsoft Excel expertise
Strong organizational and communication skills

Education and Experience:

Required: High school diploma or GED
Preferred: Medical Billing Certificate or equivalent experience
Minimum 3 years hands-on medical billing experience
Preferred: At least 1 year working with SAPC DMC-ODS billing system
Experience in denied claims handling, auditing, and billing correction

Salary range is $25-$29 per hour (hourly wage, no annual salary specified).