Senior Billing Specialist

Life in Pittsburgh; Pittsburgh (Allegheny County); Hybrid; USD 27,000 - 38,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

403(b) Retirement Plan

Paid time off and holidays

Employee Assistance Program

Hybrid work model

Job summary

Pittsburgh Tomorrow is seeking a Senior Billing Specialist to support daily billing operations and revenue. The role involves weekly, monthly, and ad hoc billing tasks and reports to the Billing Manager.

Responsibilities include submitting weekly claims, handling resubmissions and denials, processing DHS remittances, and coordinating with program staff. Hybrid work available, with on-site and remote days as described.

Qualifications

• Associate degree in Accounting/Finance or related field preferred (or equivalent).
• Electronic claim experience required or preferred.
• Experience with PROMISE or similar billing software.

Responsibilities

• Submit weekly claims using state databases and in-house billing software.
• Perform claim resubmissions, corrections, and voids as needed.
• Investigate and track rejected/denied claims to ensure payment.
• Process trade files and remittances from the Department of Public Welfare.
• Serve as a liaison between program and billing staff on billing issues.
• Assist Billing Manager with documents for internal and external audits.
• Complete Pennsylvania DHS revalidation applications.

Skills

Attention to detail

Deadline oriented

Flexibility

Strong work ethic

Education

Associate's degree in Accounting/Finance or related field

Tools

PROMISE

Job description

Salary: $23.60 per hour

Sign-on bonus: $2000 for full-time positions

FUNCTION

The Senior Billing Specialist supports the organization's day-to-day billing operations and revenue. This position performs daily, weekly, and monthly billing functions. This position reports to the Billing Manager.

CORE RESPONSIBILITIES

• Primarily responsible for submitting weekly claims using the state databases and various in-house billing software systems.
• Performs claim resubmissions, corrections, and voids as necessary which includes investigation and tracking of rejected and denied claims.
• Processes trade files and remittances from the Department of Public Welfare.
• Acts as a point of contact between program staff and billing staff on related billing issues and adjustments.
• Attends meetings and works closely with software consultants.
• Assists Billing Manager with providing necessary documents and support for internal and external audits and monitoring.
• Completes all revalidation applications with Pennsylvania Department of Human Services.
• Will act as a back-up for Billing Specialist as needed.

QUALIFICATIONS

• Associate's degree in Accounting, Finance, or related field preferred.
• Electronic claim experience.
• Proven ability in billing software such as PROMISE, etc.
• Strong attention to detail and commitment to accuracy.
• Solid work ethic and dedication to meeting deadlines.
• Flexibility to adapt to changing priorities and requirements.
• Must satisfy Pennsylvania Act 33 and 34 requirements.
• Possession of a valid Pennsylvania driver's license and a properly-insured vehicle for daily use.

Working Environment

• Full-time position with hybrid flexibility.
• On-site in the Pittsburgh office 3 days weekly and 2 remote days after two months.

Why Join Achieva?

• Purpose-Driven Work
• Supportive Environment
• Comprehensive Benefits
• Health, Dental, and Vision Insurance with low employee contributions
• Company-Paid Life, AD&D, and Long-Term Disability Insurance
• 403(b) Retirement Plan with employer contributions after one year
• Employee Assistance Program for personal and family support
• Generous Paid Time Off and Holidays
• Professional development opportunities

Our Commitment to Inclusion

Achieva is an Equal Opportunity Employer (EOE) and is committed to creating a workplace and community where all individuals feel respected, included, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, national origin, veteran status, or genetic information.

We are dedicated to providing equal access, opportunity, and reasonable accommodations for people with disabilities in employment, programs, and activities. To request a reasonable accommodation, contact the Human Resources Department at 412-995-5000 ext. 650 or [e-mail].