Healthcare Billing Specialist - Claims & Denials Expert

ADP, Inc.; Toledo (OH); On-site; USD 38,000 - 46,000; Full time

Benefits offered by this job

Health insurance

Life insurance

Paid time off

Vision insurance

IRA plan with employer match

10 paid Holidays

Job summary

Empowered for Excellence in Toledo, OH is seeking a Billing Specialist to manage billing postings, denials, and payer communications. You will work with clinical and billing staff and payers to ensure accurate claims processing and timely resolution of issues.

The role requires 3–5 years in data entry or billing processing, with a strong attention to detail and excellent communication skills. Behavioral health experience and Carelogic familiarity are preferred.

Qualifications

• High school diploma or GED is required.
• 3–5 years of data entry or billing processing experience.
• Behavioral health setting experience and Carelogic systems preferred.

Responsibilities

• Adhere to agency policies and procedures.
• Verify correct client payers and update EHR.
• Prepare, review, and transmit client claims using billing software.
• Research denied claims and correct/rebills/appeals within timeframes.
• Retrieve 835s, EOBs, and electronic files for payment posting.
• Post and balance claim payments promptly.
• Provide daily financial transaction summaries to supervisor.
• Stay informed of payer updates and issues.
• Maintain organized records and files.
• Ensure internal controls through checks and balances.

Skills

Attention to detail

Verbal and written communication

Problem solving

Independent worker

Education

High school diploma or GED

Tools

Carelogic

Billing software

Job description

Empowered for Excellence in Toledo, OH is seeking a Billing Specialist to manage billing postings, denials, and payer communications. You will work with clinical and billing staff and payers to ensure accurate claims processing and timely resolution of issues.

The role requires 3–5 years in data entry or billing processing, with a strong attention to detail and excellent communication skills. Behavioral health experience and Carelogic familiarity are preferred.