Billing Specialist - Leading TX Center for over 40 years Salary: $25 - $29 per hour Job Details The billing specialist ensures accurate and timely billing for services provided. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations. Key Responsibilities Daily Billing Operations – Reconcile billing records for accuracy, including authorizations, eligibility, diagnoses, and modifiers. Analyze daily billing reports and flag discrepancies. Auditing & Compliance – Conduct monthly audits of billable claims, submit claims, and follow up on outstanding or denied submissions. Collaboration & Communication – Work with the Billing Supervisor to resolve audit findings and claim issues; coordinate with agencies and the Clinical Department to verify documentation. Documentation & Tracking – Maintain admissions tracking for new clients, discharges, and status updates; monitor authorization requests and extensions and ensure timely submission; review group counseling and education session logs for billing accuracy. System Proficiency – Use electronic health record systems (e.g., PCNK, MyEvolv) for billing; stay current on Title 22, Title 9, and DMC Provider Manual guidelines. Must-Have Skills & Knowledge Medical billing and coding (ICD-10, CPT, HCPCS) Claims processing and revenue cycle understanding EHR/EMR system proficiency Microsoft Excel expertise Strong organizational and time‑management skills Clear written and verbal communication Basic math skills Team collaboration Familiarity with DMC procedure codes Education & Experience Requirements Required: High school diploma or GED. Required: Minimum 3 years of hands‑on medical billing experience. Required: Experience in denied claims handling, auditing, and billing correction. Preferred: Medical Billing Certificate or equivalent experience. Preferred: At least 1 year working with SAPC DMC‑ODS billing system. Equal Opportunity Employer Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: jobot.com/privacy-policy. #J-18808-Ljbffr
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