Remote Billing Specialist

Saint Francis Ministries; Salina (KS); Hybrid; USD 42,000 - 62,000; Full time

Job summary

Saint Francis Ministries is seeking a Billing Specialist to support Revenue Operations by handling medical billing, coding, payment posting, and accounts receivable aging across EHRs and PMS.

This role involves submitting claims timely, addressing denials, scrubbing for accuracy, and generating ad hoc reports to support revenue cycle operations. A high school diploma and 2+ years of healthcare billing experience are required.

Qualifications

• Minimum of two years of billing experience in a healthcare setting, behavioral health preferred.
• High School diploma or equivalent.
• Must be 21 years of age.
• Must have a valid Driver’s License.
• Must pass a drug screen, MVR, and Child Abuse and Neglect Central Registry clearance check.

Responsibilities

• Billing and management of claims for multiple programs and payers to achieve maximum reimbursement.
• Maintain working knowledge of multi-state payer rules, including Medicaid/MCOs, commercial insurance, third-party liability, state contracts, grants, and inter-organizational billing requirements.
• Ensure claims are submitted timely and in compliance with payer requirements, reviews remittance advice to identify underpayments or discrepancies.
• Reduce rejections and denials by scrubbing claims for timely and accurate submission.
• Manages the resolution of insurance claim denials through detailed review, correction, and resubmission to optimize revenue recovery.
• Collaborates with internal teams to resolve billing issues and improve workflows.

Skills

Billing experience

Education

High School diploma

Job description

Job Description

The Billing Specialist supports Revenue Operations by managing medical billing processes, including coding, payment posting, accounts receivable aging, and denial follow-up. This role ensures accurate and timely processing of claims and payments across Electronic Health Records (EHR) and Practice Management Systems (PMS).

• Billing and management of claims for multiple programs and payers to achieve maximum reimbursement
• Maintain working knowledge of multi-state payer rules, including Medicaid/MCOs, commercial insurance, third-party liability, state contracts, grants, and inter-organizational billing requirements
• Ensure claims are submitted timely and in compliance with payer requirements, reviews remittance advice to identify underpayments or discrepancies
• Reduce rejections and denials by scrubbing claims for timely and accurate submission
• Manages the resolution of insurance claim denials through detailed review, correction, and resubmission to optimize revenue recovery
• Collaborates with internal teams to resolve billing issues and improve workflows
• Manages aging accounts by contacting commercial payers and state programs to ensure timely and accurate payment
• Monitors aging reports to prioritize follow-up efforts
• Identifies, verifies, and submits claims to secondary and tertiary insurance carriers to maximize reimbursement
• Accurately posts insurance and patient payments into Practice Management Systems (PMS)
• Prepares and maintains Excel worksheets, tracking tools, and ad hoc reports to support revenue cycle operations
• Prepares, or assists in the preparation of, financial reports, analyses, and special projects as needed
• Conducts follow-up with payers to resolve denials, rejections, and unpaid claims
• Maintain and manage Billing workflows across assigned programs to ensure efficient and consistent operations
• Reviews accounts to determine if adjustments are necessary

Requirements

• High School diploma or equivalent

MINIMUM EXPERIENCE & REQUIREMENTS:

• Minimum of two years of billing experience in a healthcare setting, behavioral health preferred
• Must be 21 years of age
• Must have a valid Driver’s License
• Must pass a drug screen, MVR, and Child Abuse and Neglect Central Registry clearance check

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.