Billing Specialist (Part Time)

Description

Monday-Friday during regular business hours

Part-Time 20 hours

20.84 per hour.

A Billing Specialist is responsible for managing billing processes, ensuring accurate billing, and supporting the organization’s revenue cycle by handling billing operations efficiently, monitoring fiscal compliance, and ensuring proper documentation of services. The Billing Specialist also ensures that all required service authorizations are in place and aligned with appropriate billing mechanisms.

Requirements

· Manage SLS/CES/Vocational/Behavioral billing processes in accordance with program requirements

· Serve as a Data Coordinator by collecting, tracking, and maintaining service data

· Monitor fiscal compliance and ensure adherence to regulatory and organizational standards

· Develop, implement, and maintain billing-related policies and procedures

· Ensure that all information regarding CES, SLS, and Vocational services is accurately collected and documented as defined by the department

· Assist in applying for and maintaining proper credentialing for Medicaid and/or private insurance companies

· Input and maintain staff licenses, training, certifications, and degrees within internal databases to ensure compliance and audit readiness

· Validate and process independent/third-party invoices for accuracy and compliance

· Submit service units to case managers to ensure coverage and authorization of services

· Create and link service authorizations to appropriate programs and funding sources

· Ensure all service authorizations are in place using the correct billing mechanisms for the agency

· Act as a liaison between service providers and the case management department to ensure required services are accurately reflected in the Service Plan

· Update costs and CPT codes in Therap or other billing systems as needed

· Follow up on denied claims, resolve issues, and resubmit for payment in a timely manner

· Attach prior authorizations to active service authorizations as required to ensure proper billing and compliance

· Service Authorizations. Ensure that services authorizations are developed and entered into Therap for all services plans, including newly admitted individuals and annual service plan updates. Coordinate with Strive providers when service plan addendums result in changes to service authorizations. Make all necessary updates and revisions to service authorizations in Therap to ensure accuracy and compliance.

Billing & Documentation Oversight. Review and generate billing for services on a weekly basis. Ensure billed services align with service plans and service authorizations and verify that sufficient units are available. Report lack of available units to the case manager and appropriate department in a timely manner. Report discrepancies or missing backup documentation to the monitor. Assist with rebilling processes and make necessary adjustments to incorrect or denied claims 

Job Posting will close: 6/26/2026