Insurance Billing Specialist: Claims & Authorizations (On-Site)

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

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.