Entyre Inc is looking for a Billing Specialist to join our team. This role is central to ensuring the accuracy and timeliness of claims processing and reimbursement for the families we support. You will be responsible for preparing, submitting, and following up on claims to Medicare, Medicaid, and other third-party payers while maintaining strict compliance with all regulatory requirements.
What You'll Do
- Accurately prepare and submit claims to Medicare, Medicaid, and other payers in a timely manner.
- Review medical and care coordination documentation to ensure appropriate billing codes and compliance.
- Monitor claim status, follow up on unpaid or denied claims, and initiate appeals when necessary.
- Resolve billing discrepancies and work collaboratively with care teams to ensure documentation supports submitted charges.
- Maintain current knowledge of billing requirements and regulatory changes related to Medicare and Medicaid.
- Post payments and adjustments in billing software and reconcile accounts as needed.
- Respond to payer inquiries and requests for additional information.
- Maintain confidentiality and adhere to HIPAA and internal data privacy policies.
- Assist in month-end reporting and audits as needed.
What We're Looking For
- A Bachelor's or Associate's degree, or equivalent relevant experience.
- 2+ years of billing experience in a healthcare setting.
- Proficiency in billing software and the Microsoft Office Suite, especially Excel.
- Excellent communication, analytical, and organizational skills.
- Ability to work independently and as part of a remote or distributed team.
- Strong organizational skills and a detail-oriented approach.
Nice to Have
- Experience with Medicare and Medicaid billing is preferred.
- Experience in care coordination or behavioral health billing is a plus.
Technical Stack
- Billing software
- Microsoft Office Suite (Excel)
Benefits & Compensation
- Salary range: $55,000 - $65,000 per year.
Work Mode
This is an onsite position based in Columbus, Ohio, United States.
Entyre Inc is an equal opportunity employer.
