Billing Specialist

Description

Billing Specialist

Join a Mission-Driven Team Making a Real Impact

ACCESS is seeking a Billing Specialist who is detail-oriented, dependable, and committed to accuracy. In this role, you will help ensure timely reimbursement for the essential educational, therapeutic, and waiver services we provide to children, adults, and families across our programs.

Your work will directly support the financial stability of the organization and help ensure that families continue to receive the high-quality services they depend on.

What You’ll Do

In this role, you will:

• Prepare, review, and submit claims for all billable services in alignment with payer and ACCESS guidelines.
  
• Verify claim accuracy, including codes, modifiers, authorizations, and payer information.
  
• Monitor clearinghouse rejections and correct errors quickly to prevent delays.
  
• Post payments, adjustments, and denials accurately and efficiently.
  
• Reconcile deposits and maintain organized, audit-ready billing records.
  
• Research and resolve denied or partially paid claims, submitting appeals or resubmissions as needed.
  
• Identify recurring issues and communicate trends to the Clinical Billing Manager.
  
• Ensure authorizations are correctly documented and linked to claims.
  
• Collaborate with the insurance verification and Medicaid eligibility team.
  
• Communicate with CSCs and the Waiver Department to resolve authorization issues.
  
• Review accounts for unusual balances and recommend write-offs when appropriate.
  
• Maintain compliance with Medicaid, Medicare, and commercial payer requirements.
  
• Assist with insurance verification for new admissions.
  
• Participate in process-improvement efforts and professional development.
  
• Support overall departmental and organizational goals.
  

Who Thrives in This Role

Ideal candidates bring:

Professionalism & Integrity

• Sound judgment and respect for confidentiality
  
• Consistent follow-through and accountability
  

Communication & Collaboration

• Clear, professional communication with families, payers, and internal teams
  
• Ability to work well under pressure
  
• A collaborative approach to problem solving
  

Organization & Attention to Detail

• Strong accuracy and efficiency in documentation
  
• Ability to prioritize tasks in a fast-paced environment
  
• Proactive problem-solving skills
  

Requirements

What You’ll Need

• High school diploma or equivalent (required)
  
• Coursework or certification in billing, coding, or healthcare administration (preferred)
  
• At least one year of billing experience in healthcare, therapy, behavioral health, or education (preferred)
  
• Knowledge of CPT/HCPCS coding and Medicaid/Medicare billing
  
• Experience with electronic billing systems
  
• Proficiency in Microsoft Office and general computer systems
  
• Ability to manage multiple priorities and work independently while supporting a team
  

Physical Demands

This position requires frequent sitting and computer work, with occasional standing, bending, or lifting (up to 50 lbs). Vision requirements include close, distance, and peripheral focus.

Travel

This position does not require travel.
ACCESS drivers must maintain a valid driver’s license, insurance, and a clean driving record.