Urgent Billing Specialist

Across the Life Span, PLLC (operating as Across the Life Span); Roxboro (NC); Hybride; USD 45 000 - 60 000; Plein temps

Avantages offerts par ce poste

Flexible schedule

Opportunity for advancement

Training & development

Résumé du poste

Across the Life Span, PLLC is seeking a Billing Specialist in Roxboro, NC. The role involves the accurate submission, follow-up, and reconciliation of claims related to primary care and behavioral health services. This hybrid position requires knowledge in CPT coding and NC Medicaid billing, and entails collaboration with clinical staff to ensure compliance and revenue cycle integrity.

Preferred qualifications include proficiency in NCTracks and experience in a multi-provider behavioral health setting. Benefits include a flexible work schedule and opportunities for advancement.

Qualifications

• Minimum of two (2) to five (5) years of medical billing experience.
• Demonstrated proficiency in CPT coding for primary care and behavioral health services.
• Experience with NCTracks claim submission and follow-up.

Responsabilités

• Submit clean claims to NC Medicaid/NCTracks and other payers.
• Monitor claim status and follow up on unpaid claims.
• Ensure billing practices comply with HIPAA and NC Medicaid regulations.

Connaissances

CPT coding

NC Medicaid billing

ICD-10 coding

Analytical skills

Organizational skills

Formation

Bachelor's degree in Health Information Management, Business Administration, or Healthcare Administration

Outils

EHR/billing platforms

NCTracks

Description du poste

Benefits

• Flexible schedule
• Opportunity for advancement
• Training & development
• Wellness resources

Organization Overview

Across The Life Span, PLLC (ATLS) is an integrated behavioral health, primary care, and opioid addiction treatment organization serving Caswell County and surrounding communities in North Carolina under NC Medicaid. Our mission is to provide compassionate, whole-person care across all stages of life, ensuring equitable access to high-quality clinical and administrative services. ATLS operates multiple clinical sites across Roxboro, Yanceyville, and Greensboro, NC.

Position Summary

The Billing Specialist is responsible for the accurate and timely submission, follow-up, and reconciliation of claims across ATLS primary care and behavioral health service lines. This position requires in-depth knowledge of CPT coding, NC Medicaid billing rules, and NCTracks workflows. The Billing Specialist works closely with clinical and administrative staff to ensure revenue cycle integrity, regulatory compliance, and timely reimbursement. This is a hybrid position operating four (4) days remote and one (1) day in-office per week, with the expectation of on-demand availability and full participation in all required meetings.

Key Responsibilities

Claims Submission & Billing

• Submit clean claims to NC Medicaid/NCTracks and other payers for primary care and behavioral health services
• Apply accurate CPT, ICD-10, and HCPCS codes in compliance with payer-specific guidelines
• Ensure correct use of E/M codes, behavioral health service codes, and specialty billing codes (e.g., joint injections, medication management, OAT/MAT services)
• Verify prior authorizations and service authorizations are in place prior to claim submission
• Submit claims within required timely filing windows for all applicable payers

Revenue Cycle & Denial Management

• Monitor claim status and proactively follow up on unpaid, denied, or rejected claims
• Analyze denial patterns and implement corrective actions to reduce denial rates
• Submit timely and accurate appeals for denied claims with appropriate clinical documentation
• Reconcile payments against expected reimbursement and post payments accurately to accounts
• Generate and review accounts receivable aging reports and elevate outstanding balances as appropriate

Compliance & Documentation

• Maintain thorough knowledge of NC Medicaid Clinical Coverage Policies applicable to ATLS service lines (including 8A, 8C, 8G, and primary care)
• Ensure billing practices comply with HIPAA, NC Medicaid, and federal billing regulations
• Maintain current knowledge of NC Medicaid fee schedules, billing updates, and NCTracks system changes
• Accurately document billing activity, adjustments, and correspondence in the EHR and billing systems

Collaboration & Availability

• Collaborate with clinical staff, and Medical Director to resolve documentation and billing discrepancies
• Attend all required in-person and virtual staff meetings, trainings, and compliance reviews
• Remain available on-demand during core business hours to address urgent billing matters
• Report billing concerns, compliance issues, or payer changes to leadership in a timely manner
• Perform other duties as assigned by the CEO/Medical Director

Minimum Qualifications

• Bachelor's degree in Health Information Management, Business Administration, Healthcare Administration, or a related field
• Minimum of two (2) to five (5) years of medical billing experience, with direct experience in primary care and behavioral health billing
• Demonstrated proficiency in CPT coding for primary care and behavioral health services
• Demonstrated proficiency in NC Medicaid billing, including NCTracks claim submission and follow-up
• Working knowledge of ICD-10-CM diagnosis coding and HCPCS Level II codes
• Experience with EHR/billing platforms and electronic claim submission
• Strong analytical, organizational, and written communication skills
• Ability to work independently in a remote environment with minimal supervision

Preferred Qualifications

• Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) credential
• Experience with NCTracks, MedBridge, or similar NC Medicaid billing systems
• Familiarity with value-based care quality reporting requirements under NC Medicaid
• Experience supporting opioid addiction treatment (OAT/MAT) billing and service authorization
• Experience in a multi-site or multi-provider behavioral health or integrated care organization

Work Schedule & Environment

This is a hybrid position. The Billing Specialist will work four (4) days per week remotely and report in-person to the Roxboro, NC office location one (1) designated day per week. The employee must be available on-demand during core business hours and must attend all mandatory in-person and virtual meetings as scheduled. Schedule flexibility may be required to meet organizational needs. Reasonable accommodations will be made for qualified individuals with disabilities.

Equal Opportunity Employment

Across The Life Span, PLLC is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, genetic information, or any other characteristic protected by applicable law.

Flexible work from home options available.