Manage healthcare billing and revenue cycle activities, including claim submission, coding, payment posting, denial resolution, accounts receivable follow-up, and payer communication. Maintain compliance with multi-state payer requirements, monitor aging reports, submit secondary claims, prepare Excel tracking tools and financial reports, and improve billing workflows. The role requires at least two years of healthcare billing experience and involves behavioral health billing preferences.
Job Summary & Responsibilities
The Billing Specialist supports Revenue Operations by managing medical billing processes, including coding, payment posting, accounts receivable aging, and denial follow-up. This role ensures accurate and timely processing of claims and payments across Electronic Health Records (EHR) and Practice Management Systems (PMS).
- Billing and management of claims for multiple programs and payers to achieve maximum reimbursement
- Maintain working knowledge of multi-state payer rules, including Medicaid/MCOs, commercial insurance, third-party liability, state contracts, grants, and inter-organizational billing requirements
- Ensure claims are submitted timely and in compliance with payer requirements, reviews remittance advice to identify underpayments or discrepancies
- Reduce rejections and denials by scrubbing claims for timely and accurate submission
- Manages the resolution of insurance claim denials through detailed review, correction, and resubmission to optimize revenue recovery
- Collaborates with internal teams to resolve billing issues and improve workflows
- Manages aging accounts by contacting commercial payers and state programs to ensure timely and accurate payment
- Monitors aging reports to prioritize follow-up efforts
- Identifies, verifies, and submits claims to secondary and tertiary insurance carriers to maximize reimbursement
- Accurately posts insurance and patient payments into Practice Management Systems (PMS)
- Prepares and maintains Excel worksheets, tracking tools, and ad hoc reports to support revenue cycle operations
- Prepares, or assists in the preparation of, financial reports, analyses, and special projects as needed
- Conducts follow-up with payers to resolve denials, rejections, and unpaid claims
- Maintain and manage Billing workflows across assigned programs to ensure efficient and consistent operations
- Reviews accounts to determine if adjustments are necessary
- High School diploma or equivalent
MINIMUM EXPERIENCE & REQUIREMENTS:
- Minimum of two years of billing experience in a healthcare setting, behavioral health preferred
- Must be 21 years of age
- Must have a valid Driver’s License
- Must pass a drug screen, MVR, and Child Abuse and Neglect Central Registry clearance check
- Lifting Requirements of 30-50 lbs
Similar Jobs
Fitness • Healthtech
Reviews and approves customer accounts, maintains accurate account data, generates and processes invoices, resolves billing discrepancies, responds to billing inquiries, and maintains accounts receivable documentation. The role collaborates with sales, customer service, and finance teams while ensuring compliance with financial controls and billing regulations. It also supports reconciliations, audits, process improvements, system upgrades, and policy updates.
Top Skills:
Billing SoftwareErp SystemsMicrosoft DynamicsExcelMicrosoft OutlookMicrosoft Word
Information Technology • Insurance
Reconcile and process individual and group insurance premium payments, research and clear suspense items, perform member-level reconciliations and terminations, generate refunds and correspondence, complete payment audits in Excel, and meet quality and productivity benchmarks while collaborating with internal stakeholders.
Top Skills:
10-KeyExcelPivottablesVlookup
Healthtech • Information Technology • Software • Telehealth
Build and operate data platform services, APIs, SDKs, schemas, validation tools, event-driven pipelines, and reverse ETL workflows. Improve Kafka-based data delivery, schema evolution, observability, lineage, access controls, privacy, and compliance. Partner with engineering, analytics, data science, security, and infrastructure teams to create reliable, self-service data workflows. Operate AWS services, infrastructure as code, monitoring, alerting, and incident response.
Top Skills:
Apache IcebergAPIsAutomated TestingAvroAWSC#Continuous DeliveryData WarehousingDatabricksInfrastructure As CodeJavaJson SchemaKafkaKotlinLakehouseObservabilityOpenapiProtobufPythonReverse EtlSdksSnowflakeSQLTypescript
What you need to know about the Austin Tech Scene
Austin has a diverse and thriving tech ecosystem thanks to home-grown companies like Dell and major campuses for IBM, AMD and Apple. The state’s flagship university, the University of Texas at Austin, is known for its engineering school, and the city is known for its annual South by Southwest tech and media conference. Austin’s tech scene spans many verticals, but it’s particularly known for hardware, including semiconductors, as well as AI, biotechnology and cloud computing. And its food and music scene, low taxes and favorable climate has made the city a destination for tech workers from across the country.
Key Facts About Austin Tech
- Number of Tech Workers: 180,500; 13.7% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Dell, IBM, AMD, Apple, Alphabet
- Key Industries: Artificial intelligence, hardware, cloud computing, software, healthtech
- Funding Landscape: $4.5 billion in VC funding in 2024 (Pitchbook)
- Notable Investors: Live Oak Ventures, Austin Ventures, Hinge Capital, Gigafund, KdT Ventures, Next Coast Ventures, Silverton Partners
- Research Centers and Universities: University of Texas, Southwestern University, Texas State University, Center for Complex Quantum Systems, Oden Institute for Computational Engineering and Sciences, Texas Advanced Computing Center
