Accounts Receivable Billing Specialist

JOB TITLE:
Accounts Receivable Billing Specialist I, II, & III

POSITION SUMMARY:

The Accounts Receivable Billing Specialist (Levels I, II, and III) is responsible for supporting the organization’s billing and reimbursement processes under the direct supervision of the Accounts Receivable Billing Supervisor and overall direction of the Revenue Cycle Administrator. This role requires strong attention to detail, accuracy in data entry, and the ability to work effectively within a team-oriented environment.

Employees in this classification perform duties that are clearly defined and supervised, with expectations increasing progressively at each level (I to III). The role plays a vital part in maintaining accurate billing records and ensuring timely and correct claim processing.

EDUCATION & EXPERIENCE REQUIREMENTS:

• High school diploma or equivalent required

• Minimum of two (2) years of experience in data entry, preferably in a healthcare billing or accounts receivable environment

• Proficiency in Microsoft Windows and Microsoft Office applications (Word, Excel, Outlook)

• Basic understanding of accounts receivable functions

• Familiarity or training in co-occurring disorders (preferred)

KEY COMPETENCIES:

• Accuracy and attention to detail

• Effective communication skills, both written and verbal

• Ability to manage time effectively and prioritize workload

• Strong problem-solving and critical thinking skills

• Cooperative and professional demeanor when working with internal teams and external stakeholders

• Ability to maintain confidentiality and comply with HIPAA and other regulatory standards

ESSENTIAL DUTIES & RESPONSIBILITIES:

Accounts Receivable Billing Specialist I:

• Process Medicaid, Managed Care Entities (MCEs), and Third Party Liability (TPL) insurance claims per supervisor guidance

• Complete monthly Medicaid, MCEs and TPL write-offs

• Take appropriate follow-up actions for payer discrepancies (e.g., MMIS voids, service errors)

• Alternate weekly billing responsibilities, including generating agency charges

• Post payments from payers daily

• Review and resolve service errors weekly

• Attend staff meetings and actively participate

• Perform other duties as assigned by supervisor or management

• Must be willing to travel as required for job responsibilities

• Maintain regular and predictable attendance

• Meet performance standards and demonstrate competency through evaluations and ongoing training

Accounts Receivable Billing Specialist II:
In addition to duties of Specialist I:

• Demonstrate advanced understanding of billing processes and resolution of service errors

• Identify and resolve issues related to payment posting; ensure postings are completed within 1–2 days of deposit receipt

• Independently resolve billing issues and engage clinical or support staff as necessary

• Monitor and ensure timely completion of payment imports (daily) and exports (by Wednesday noon weekly)

Accounts Receivable Billing Specialist III:
In addition to duties of Specialist I and II:

• Develop and update training materials and billing process documentation

• Provide training and onboarding support for new staff; assess staff competencies

• Identify billing error trends and proactively report issues to supervisor

• Act as first point of contact for billing staff in the supervisor’s absence

• Work on departmental projects and implementations

ADDITIONAL REQUIREMENTS:

• Must possess strong interpersonal skills and the ability to work collaboratively with colleagues, supervisors, and cross-functional teams

• Must demonstrate sound judgment and professionalism in all interactions

• Ability to clearly present information and respond to inquiries effectively

• Must be proficient in reading and comprehending technical and procedural documents in English

This job description reflects the general duties and responsibilities of the position and is not intended to be an exhaustive list. Duties, responsibilities, and activities may change at any time with or without notice.