Billing / Collections Specialist

Job Overview

We are seeking a detail-oriented and analytical financial reporting & billing/collections specialist to manage the full cycle of billing operations, from insurance verification and prior authorization to accounts receivable, collections, and financial reporting. The ideal candidate ensures accurate financial records, timely collections, and compliance with applicable accounting standards and healthcare regulations, including HIPAA.

Key Responsibilities

Financial Reporting & Accounting

• Maintain the general ledger and all supporting ledgers, journals, receipts, and invoices
• Generate detailed internal financial reports and analyses for management, researching and explaining significant variances as needed
• Assist with internal and external audits by providing necessary documentation and explanations

Billing, Collections & Insurance Verification

• Manage accounts receivable and debt collections, ensuring all incoming payments are processed and recorded accurately and in a timely manner
• Perform Verification of Benefits (VOB) for patients prior to service by contacting insurance providers via phone or online portal to confirm coverage, deductibles, co-pays, and out-of-pocket expenses; submit completed VOBs to site administrative assistants
• Obtain Veterans Affairs (VA) approvals and Prior Authorizations (PA) from insurance providers to ensure services are covered and claim denials are minimized
• Provide coverage for Prior Authorization Director functions, including Qualitrac and related systems, as needed
• Coordinate Alcohol Tax Dollar (ATD) assignments and similar funding sources, including proper tracking, clinical and billing team communication, quarterly invoicing submission, and year-end reporting support for site supervisors
• Implement collection procedures for overdue accounts, including client outreach, payment plan negotiation, and billing dispute resolution
• Track and manage all payments received, performing daily bank deposits and accurate cash application to client accounts
• Maintain up-to-date billing systems and patient/client records

• Proven experience in an accounting, medical billing, or accounts receivable role; healthcare or behavioral health experience strongly preferred
• Solid knowledge of accounting principles (GAAP) and financial reporting
• Familiarity with medical terminology, insurance plan types (HMO, PPO, etc.), and the full revenue cycle process
• Proficiency in accounting software, billing systems, and Microsoft Excel
• Exceptional attention to detail with strong organizational skills and the ability to manage multiple priorities and deadlines
• Strong communication and problem-solving skills for resolving discrepancies with clients and insurance providers
• Ability to handle sensitive patient financial information in strict compliance with HIPAA

Education & Experience

• High school diploma or GED required; Associate's or Bachelor's degree in Accounting, Finance, or a related field preferred
• Experience with behavioral health or substance use disorder billing is a plus
• Relevant certifications (e.g., Certified Revenue Cycle Specialist, CMRS) are a plus