Billing Specialist

St Gerard House; Hendersonville (NC); On-site; USD 25,000 - 36,000; Full time

Job summary

St Gerard House in Hendersonville, NC, seeks an on-site Insurance Billing Clerk to process and submit client insurance billing. You will prepare, review and bill claims via Central Reach/OfficeAlly, monitor claim status, resolve denials, and help ensure timely authorizations within HIPAA-compliant processes.

Monday–Friday, 8:00 AM–4:00 PM, hourly full-time role. Proficiency in Microsoft Office and Google Workspace is required; experience with Central Reach a plus.

Qualifications

• High school diploma or higher.
• Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint, Publisher, Access) and Google Workspace.
• Experience with database software such as Central Reach is a plus.

Responsibilities

• Prepare, review and bill claims via Central Reach/OfficeAlly, NCTracks Portal
• Check claim status on payor systems and contact insurance as needed
• Resolve denials for unpaid and rejected claims, follow up on outstanding claims
• Send medical records and other documentation to payors, as requested
• Review timesheets and billing entries in Central Reach to ensure accuracy
• Post payments (electronic and manual) in billing software
• Collaborate to ensure timely enrollment of clients and submissions for authorizations
• Collaborate to verify ABA benefits eligibility with primary/secondary payers
• Gather and submit documentation to gain authorization for ABA services
• Monitor and report on authorization status; work with leadership to finalize documentation
• Manage client accounts, upload billing documentation, add payers and service codes
• Perform weekly billing audit; check for non-billable time and code overlaps
• Document billing-related communications in the appropriate system
• Scan and upload authorization letters, EOBs, and payer correspondence
• Assist with updating billing software for rate changes; contact Central Reach to resolve issues
• Track missing materials for insurance onboarding; attend webinars and report back as directed

Skills

Microsoft Office Suite

Google Workspace

Education

High school diploma or higher

Tools

Central Reach

OfficeAlly

NCTracks Portal

Job description

Advertised Job Type: Permanent - Full-time regular employment

Work Type: On Site

Job Description

Job Overview

Process and submit client insurance billing

Work Schedule

Monday – Friday, 8:00 AM – 4:00 PM

Employee Classification

Hourly, Full-time

Qualifications

High school diploma or higher. Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint, Publisher, Access), Google Business Suite. Experience with database software such as Central Reach is a plus.

Essential Responsibilities

The primary duties of the position include:

Prepare, review and bill claims via Central Reach/OfficeAlly, NCTracks Portal

Check claim status on appropriate payors systems and contact insurance as needed

Resolve denials for unpaid and rejected claims, follow up on outstanding claims and adjust accordingly

Send medical records and other documentation to payors, as requested

Review timesheets and billing entries in Central Reach to ensure accurate information

Post payments (electronic and manual) in billing software

Collaborate as needed to ensure all requirements are obtained for timely enrollment of clients and submission for authorizations

Authorizations

Collaborate to ensure timely and accurate verification of client’s ABA benefits eligibility through primary and secondary payers

Gather and submit required documentation to gain authorization for ABA services, following up within the agency as necessary

Send requested information to insurance carriers, as needed

Foster relationships with payor partners, follow-up on submitted authorization requests

Monitor and report on the status of authorization requests and issues

Work with the leadership to ensure timely completion of documentation

Practice Management Software

Manage client accounts, upload documentation required for billing, add payers, connect clients to providers and service codes, fee schedules, etc.

Perform weekly billing audit, screen for non-billable time, code overlaps, schedule inconsistencies, code requirements and MUEs

Document insurance billing related correspondence in the appropriate location, for example: calls and relevant/important information

Scan documents such as authorization letters, EOB's, correspondence from payers and upload into practice management software

Assist leadership with updating billing software with rate changes

Contact Central Reach to resolve any issues

Other

Track and report back any missing materials for insurance onboarding to appropriate departments

Attend webinars and report back to relevant parties as directed

Follow HIPAA regulations when handling all patient information