Billing Specialist - Remote

Acadia Healthcare; Philadelphia (Philadelphia County); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Remote work

Professional development opportunities

Job summary

Acadia Healthcare seeks an experienced Billing Specialist to join the Business Office in a fully remote role. You will ensure accurate and timely billing of healthcare claims, resolve claim issues, and support reimbursement across various payer sources, including Medicare and Medicaid.

The ideal candidate is detail-oriented, highly organized, and familiar with third-party payer requirements. The role requires strong experience in medical billing, with emphasis on Medicare/Medicaid and

Qualifications

• High School diploma or equivalent required.
• 5 years of related experience and/or training or equivalent.
• Certified CPT coder is a plus.
• Medicare/Medicaid experience is a plus.
• Experience as Medicaid/Medicare or third-party biller or billing coordinator preferred.
• Proficient with Excel and clearinghouse apps; 10-key numerical skills; HIPAA knowledge.

Responsibilities

• Process third-party electronic and manual billing accurately and timely.
• Apply payer-specific edits identified in the billing system.
• Resolve incomplete claims and follow up on non-transmitted claims.
• Submit adjustment claims to Medicare/Medicaid via online systems.
• Attach documents when billing and mail manual claims daily.
• Maintain daily productivity records and notes in patient accounting systems.
• Complete monthly in-services and training as required.
• Other duties as assigned.

Skills

Medical billing

Attention to detail

Data entry

Microsoft Excel

Problem solving

Education

High School diploma or equivalent

Certified CPT coder

Tools

Clearinghouse application

Availity Pro

10-key

Job description

Overview

We are seeking an experienced Billing Specialist to join our Business Office team. In this fully remote role, you will be responsible for ensuring accurate and timely billing of healthcare claims, resolving claim issues, and supporting reimbursement processes across a variety of payer sources. The ideal candidate is detail-oriented, highly organized, and experienced in medical billing, Medicare, Medicaid, and third-party payer requirements.

If you thrive in a fast-paced environment, enjoy problem-solving, and are passionate about accurate healthcare billing, we'd love to hear from you.

Responsibilities

• Completes all third party electronic and manual billing timely and accurately in accordance with appropriate rules and regulations.
• Completes all payer specific edits identified through the billing system.
• Resolves issues associated with incomplete claims including follow up of non-transmitted claims.
• Submit adjustment claims to Medicare/Medicaid through use of online systems.
• Attaches appropriate documents when billing manual claims and or other medical records.
• Mails all manual claims to individual payers daily.
• Works all daily reports as assigned.
• Records daily productivity of claims billed and assures proper documentation in the notes of the patient accounting systems.
• Completes all monthly required in-services and educational training as required.
• Experience with Behavioral Health, including CBH, CCBH preferred
• Experience with SSI and / or Availity Pro preferred
• Other duties as assigned

Qualifications

Qualifications

• High School graduate or equivalent required.
• 5 years of related experience and/or training: or equivalent combination of education and experience is required.
• Certified CPT coder is a plus.
• Medicare and Medicaid experience is a plus.
• Recently held a position as Medicaid, Medicare or Third Party Biller or Billing Coordinator or Collection Specialist is preferred.
• Computer savvy: Microsoft Excel, Microsoft Work, Clearinghouse application and solid 10-key and mathematical skills is required. Knowledgeable in medical practices and procedures as it relates to the laws, regulations, and guidelines pertaining to HIPAA is required.
• Ability to work with minimal supervision in a busy office setting is required.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.