Senior Billing Specialist

ACHIEVA; Pittsburgh (Allegheny County); Hybrid; USD 28,000 - 37,000; Full time

Benefits offered by this job

Health, Dental, and Vision Insurance

Company-Paid Life Insurance

Long-Term Disability Insurance

403(b) Retirement Plan

Paid Time Off

Holidays

Employee Assistance Program

Job summary

Achieva is hiring a Senior Billing Specialist to support daily billing operations in Pittsburgh. The role involves submitting weekly claims, processing resubmissions and denials, and handling remittances from the Pennsylvania Department of Human Services. Hybrid work with on-site three days and two remote days after two months.

Strong accuracy, knowledge of PROMISE, and PA Act 33/34 compliance are essential, along with an accounting/finance degree. Excellent benefits are provided.

Qualifications

• Associate's degree preferred in Accounting/Finance or related field.
• Electronic claim experience required.
• Proven ability with billing software such as PROMISE.

Responsibilities

• Submit weekly claims using state databases and in-house billing systems.
• Perform claim resubmissions, corrections, and voids as needed.
• Process trade files and remittances from DPW.
• Serve as liaison between program staff and billing staff on billing issues.

Skills

Driver's license

Electronic claim experience

Attention to detail

Deadline-driven

Flexibility

Act 33/34 requirements

Education

Associate's degree in Accounting, Finance, or related field

Tools

PROMISE

Job description

Salary: $23.60 per hourSign-on bonus: $2000 for full-time positionsFUNCTION: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 WorkSupportive EnvironmentComprehensive BenefitsHealth, Dental, and Vision Insurance with low employee contributionsCompany-Paid Life, AD&D, and Long-Term Disability Insurance403(b) Retirement Plan with employer contributions after one yearEmployee Assistance Program for personal and family supportGenerous Paid Time Off and HolidaysProfessional development opportunitiesOur Commitment to InclusionAchieva 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].