Billing Specialist

Why Join Meta House?

At Meta House, your work has purpose. Every role whether clinical, administrative, or leadership contributes to helping women and families rebuild their lives and achieve lasting recovery. Here, you’re not just filling a position; you’re advancing a mission that changes futures. We foster a collaborative, values-driven culture where professionals are supported, challenged, and empowered to grow. If you’re looking for meaningful work, a team that cares deeply, and the opportunity to make a measurable impact in your community, Meta House is where your career and your purpose align.

The Billing Specialist is responsible for accurate, timely, and compliant billing for Meta House’s services including Outpatient, Residential, Peer Support, and Case Management. This role ensures claims are submitted correctly the first time, resolves denials, monitors payer trends, and supports the implementation of new billing workflows and best practices developed through Meta House’s billing assessment project.

Key Responsibilities

• Review daily charges for accuracy and ensure all charges are validated prior to claim submission.

• Review clearinghouse rejection reports, correct errors, and resubmit claims in a timely manner.

• Maintain provider enrollment status with Medicaid HMOs and commercial payers.

• Ensure that rendering providers are properly credentialed and accurately mapped within their SER records.

• Review and resolve claim denials and rejections daily, identifying root causes, and implementing corrective actions.

• Submit clean claims to payers including: ForwardHealth, Medicaid HMOs, Medicare Advantage plans, and commercial payers in accordance with payer filing guidelines.

• Collaborate with clinical teams to resolve documentation and coding issues affecting claim submission and reimbursement.

• Post insurance payments accurately through both electronic and manual processes.

• Manage financial assistance workflows, including all documentation related to the same, sliding fee discount applications, approvals, and client payment processing.

• Perform accounts receivable follow-up and resolve claim denials through corrected claims, reconsiderations, and appeals.

• Provide excellent customer service to clients, providers, and administrative team regarding billing and account inquiries.

• Maintain quality standards by following established policies, procedures, and best practices.

• Ensure strict confidentiality of all clients and organizational information in compliance with HIPAA regulations.

• Demonstrate a strong commitment to performance, accountability, and job responsibilities.

• Respond promptly to inquiries regarding billing, claims, payments, and account-related matters.

• Train staff on new billing workflows and procedures once processes have been finalized and implemented.

• Perform other duties as assigned by the Supervisor.