Billing Specialist

Please send resume and cover letter to humanresources@womenscentersemi.org

Company Description

The Women’s Center of Southeastern Michigan provides accessible mental health counseling and supportive services to individuals of all gender identities and expressions. Our mission is to enable the economic and emotional self determination of women and families. Located in Ann Arbor, MI, we are dedicated to creating a supportive space for individuals to navigate life’s challenges. By offering an array of services tailored to unique needs, we empower clients to achieve their fullest potential.

Role Description

The Billing Specialist is a full-time, primarily on-site role based in Ann Arbor, MI. This role is responsible for ensuring accurate and timely billing processes, managing client invoicing, and maintaining financial records. Key responsibilities include processing and submitting claims, reconciling billing discrepancies, and working closely with clients and staff to resolve billing inquiries. The Billing Specialist will also oversee accounting functions related to client billing to ensure efficient management of financial operations.

Core Responsibilities

• Claims Management and Processing: Support the timely and accurate submission of claims to various payers. Ensure prompt and accurate payment posting and reconciliation of Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs). Timely resolution of outstanding Accounts Receivable (A/R) by effective use of follow-up procedures and escalation processes. Prepare regular reports on billing activity, account status, and payment collections for management review.

• Accounts Receivable (AR) Management, Accounts Payable (AP) Management, and Follow Up: Monitor AR aging, implement strategies to reduce denials and outstanding balances, and escalate issues for swift resolution. Perform data entry, information verification, and invoice generation for customer accounts. Proactively monitor and follow up on unpaid, denied, and partially paid claims with payers and clients to ensure timely resolution and payment. Process payables and payroll in accordance with the finance and billing department schedule. Collaborate with the internal team and customers to resolve billing inconsistencies and errors.

• Support Client Billing Processes: Generate and manage monthly statements for self-pay clients and patient balances, respond to client billing inquiries, and process payment arrangements. Accurately enter service charges and verify client demographics, insurance eligibility, and authorization information prior to claim submission. Record payments and reconcile accounts to maintain accurate financial records.

• Compliance: Maintain strict adherence to all HIPAA regulations, internal policies, and payer-specific billing requirements. Follow established policies, procedures, and controls to validate customer billing information, invoice amounts, and order details. Utilize billing software and maintain organized records for audits and reporting.

• Crosstrain to Support the Lifecycle of Claims Management: Crosstrain with other key billing staff to be able to serve as backup (example: claim submittals, payment processes, and troubleshooting claims issues, etc.). Interpret client payment details and case obligations, gather and review account information to assist with researching invoice discrepancies and errors. Manage follow-up notifications and respond to standard billing inquiries. Other duties as assigned.

Qualifications

• Requires a high school diploma or equivalent. 
• 1-3 years demonstrated experience with healthcare billing systems and revenue cycle management tools.
• Demonstrated ability to communicate effectively and to work as a member of a team.
• Office skills: Strong attention to detail and organizational skills. Familiarity and comfort working with Excel. 
• Preferred; 2-4 years of direct medical billing experience. Experience creating billing reports and working to improve processes. Understanding and experience with CPT/IDC-10 Coding basics. Exposure experience with using insurance portals including Availity, CHAMPS, WPS.

Benefits

• Competitive salary
• Health and vision insurance
• Paid time off
• Retirement savings plan with employer contributions - 3% match
• Professional development opportunities
• A supportive and mission-driven work environment. 
• The opportunity to make a significant impact on the lives of women and families in Southeastern Michigan.