Regional Billing Specialist

PACS; Salt Lake City (UT); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health Coverage

PTO & Holidays

HSA & FSA

401(k) Plan

EAP

Job summary

PACS in Utah seeks a Regional Billing Specialist to oversee accounts receivable accuracy and efficiency across the region. You will act as a technical expert to maximize collections and minimize aging through proactive claims management and adherence to payer regulations.

Core duties include generating trial claims, overseeing billing cycles, managing un-billed claims, reviewing clearinghouse rejections, ensuring alignment with payer contracts, and posting cash to PCC daily with rigorous

Qualifications

• 2–4 years of experience in healthcare billing, accounts receivable, or revenue cycle operations.
• Working knowledge of payer rules, billing regulations, and claims submission processes.
• Experience with electronic health record (EHR) and billing platforms (PointClickCare or similar).
• Strong analytical skills with the ability to identify trends, resolve billing issues, and ensure data accuracy.
• Excellent attention to detail, documentation habits, and organizational skills.
• Ability to communicate effectively with Business Office Managers, payers, and cross-functional teams.

Responsibilities

• Generate trial claims regularly to identify and resolve billing errors prior to final submission.
• Ensure all prior-month claims are billed immediately following the Triple Check date.
• Maintain a cumulative list of all unbilled claims; provide daily updates and documentation until all prior-month claims are released.
• Review Waystar for rejected claims daily and resubmit within one business day.
• Maintain comprehensive working knowledge of payer contracts and rules; ensure billing aligns with contract provisions.
• Review Payer Setup Information reports to identify inaccuracies and coordinate corrections.
• Monitor insurance portals for status updates and denials; pursue corrections or appeals as needed.
• Post payer-appropriate cash to PCC daily and reconcile deposits with PCC postings.
• Analyze AR aging reports to identify trends and report insights to leadership.

Skills

Healthcare billing

Accounts receivable

Revenue cycle

Education

Healthcare billing experience

Tools

PointClickCare

Waystar

Job description

General Purpose

The Regional Billing Specialist is responsible for ensuring the accuracy, integrity, and efficiency of accounts receivable processes across the designated region. This role serves as a technical expert and oversight mechanism to maximize collections and minimize aging through proactive claims management and adherence to payer regulations.

• Trial Claims: Generate trial claims regularly to identify and resolve billing errors prior to final submission.


• Billing Cycle Oversight: Ensure all prior-month claims are billed immediately following the Triple Check date.


• Un-billed Claims Management: Maintain a cumulative list of all unbilled claims; provide daily updates and documentation until all prior-month claims are successfully released.


• Clearinghouse Maintenance: Review Waystar for rejected claims daily. Ensure all rejections are corrected and resubmitted within one business day.

General Purpose

The Regional Billing Specialist is responsible for ensuring the accuracy, integrity, and efficiency of accounts receivable processes across the designated region. This role serves as a technical expert and oversight mechanism to maximize collections and minimize aging through proactive claims management and adherence to payer regulations.

Essential Duties

Claims Management & Billing Accuracy

• Trial Claims: Generate trial claims regularly to identify and resolve billing errors prior to final submission.


• Billing Cycle Oversight: Ensure all prior-month claims are billed immediately following the Triple Check date.


• Un-billed Claims Management: Maintain a cumulative list of all unbilled claims; provide daily updates and documentation until all prior-month claims are successfully released.


• Clearinghouse Maintenance: Review Waystar for rejected claims daily. Ensure all rejections are corrected and resubmitted within one business day.

Payer Compliance & Revenue Integrity

• Contractual Expertise: Maintain comprehensive working knowledge of payer contracts and rules; ensure all billing aligns strictly with specific contract provisions.


• Payer Sequencing: Review Payer Setup Information reports regularly to identify inaccuracies. Execute corrections or direct Business Office Managers to resolve errors via the collection note process.


• Denial Management: Monitor insurance portals for status updates and denials. Execute immediate corrections or submit formal appeals as appropriate to secure payment.

Collections & Cash Application

• Collection Module Oversight: Monitor the PointClickCare Upcoming Activity Tab. Review outstanding

• Account Documentation: Ensure detailed, professional notes are added to all accounts worked within PCC to maintain a clear audit trail.

• Cash Posting & Reconciliation: Post all payer-appropriate cash to PCC daily. Perform regular reconciliations between bank deposits and PCC postings to ensure financial data integrity.

Reporting & Analysis

• Trend Identification: Analyze accounts receivable aging reports to identify negative trends or systemic issues.


• Management Reporting: Keep executive leadership informed by providing concise summaries and actionable insights regarding the region's financial health.

Supervisory Requirements

This role has no supervisory requirements.

Qualification

Education And/or Experience

• 2–4 years of experience in healthcare billing, accounts receivable, or revenue cycle operations.


• Working knowledge of payer rules, billing regulations, and claims submission processes.


• Experience with electronic health record (EHR) and billing platforms (PointClickCare or similar).


• Strong analytical skills with the ability to identify trends, resolve billing issues, and ensure data accuracy.


• Excellent attention to detail, documentation habits, and organizational skills.


• Ability to communicate effectively with Business Office Managers, payers, and cross-functional teams.

Key Competencies

• Technical Proficiency: Advanced knowledge of PointClickCare and Waystar (or similar clearinghouses).


• Professionalism: Demonstrate high levels of autonomy, organization, and assertiveness when addressing billing discrepancies.


• Adaptability: Exhibit flexibility and a cooperative spirit in a fast-paced, multi-facility environment.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with Disabilities To Perform The Essential Functions.

The noise level in the work environment is usually low to moderate.

Additional Information

Note: Nothing in this job specification restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Our Comprehensive Benefits Include

• Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.


• PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.


• Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.


• Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.


• Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.

Join us at PACS and take advantage of a workplace that truly values you!

PACS is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.

Join PACS: Elevate Healthcare with Us!

PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and commitment, we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide. If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let’s shape the future of healthcare!

Join Our Team and Thrive!

At PACS, we believe our employees are our greatest asset. That’s why we offer an exceptional benefits package designed to enhance your well‑being and support your lifestyle.

Our Comprehensive Benefits Include

• Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.


• PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.


• Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.


• Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.


• Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.

Join us at PACS

We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.