Billing Specialist

Cadence Care Network; Niles (OH); On-site; USD 52,000 - 78,000; Full time

Job summary

Cadence Care Network seeks a detail-oriented Medical Billing Specialist to support end-to-end billing, ensure accuracy in daily claims, and manage accounts receivable with a focus on timely payments for pediatric services. You will verify insurance coverage, obtain prior authorizations, follow up with providers for missing documentation, and generate routine reports to monitor revenue cycle performance.

Qualifications

• Thorough knowledge of medical billing procedures and revenue cycle processes.

Responsibilities

• Pre-audit and submit claims on a daily basis to ensure accuracy and compliance.

Skills

Medical billing

Accounts receivable

Communication

Attention to detail

Problem-solving

Microsoft Excel

Microsoft Word

Independent work

Education

High school diploma or GED

Associate’s degree in Health Information Management

Tools

Billing software

Microsoft Excel

Job description

Cadence Care Network believes in building a cohesive team of managers and staff. We know that our employees are our most valuable assets in delivering quality service to the children and families that we serve. It is our collective goal to evolve, providing quality services to meet the ever-changing needs of the community.

Responsibilities

• Pre-audit and submit claims on a daily basis to ensure accuracy and compliance.
• Follow up with providers to obtain missing documentation or required corrections prior to claim submission.
• Manage accounts receivable, including resolving denials, delayed payments, and other discrepancies, while adhering to established timely filing limits.
• Post all commercial, Medicaid, and patient payments accurately and timely.
• Perform insurance verification and report coverage limitations or restrictions as needed.
• Obtain prior authorizations for services requiring authorization.
• Maintain and prepare daily, monthly, quarterly, and annual reports.

Required Qualifications

• Thorough knowledge of medical billing procedures and revenue cycle processes.
• Demonstrated ability to contact and work with insurance companies regarding outstanding accounts receivable.
• Strong proficiency in Microsoft Excel and Word.
• Ability to work independently with minimal supervision.
• High level of attention to detail and accuracy.
• Strong problem-solving and decision-making skills.
• Effective verbal and written communication skills.

Preferred Qualifications

Minimum Education

High school diploma or GED

Preferred / Helpful Education

• Associate’s degree in Health Information Management
• Medical Billing and Coding
• Healthcare Administration
• Business Administration

Certifications (Highly Valued)

• CPB – Certified Professional Biller (AAPC)
• CBCS – Certified Billing & Coding Specialist (NHA)
• CPC – Certified Professional Coder (AAPC) (more coding-focused)
• CCS – Certified Coding Specialist (AHIMA)