Trauma Specialists of Delaware, LLC

Senior Billing Specialist

Trauma Specialists of Delaware, LLC

full-time

Posted on:

Location Type: Hybrid

Location: Milton • United States

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Salary

💰 $58,000 - $62,000 per year

Job Level

Senior

About the role

  • Daily Billing Operations Claims & Collections Management
  • Submit clean claims within 48 hours of service delivery, maintaining ≥95% clean claim rate
  • Post insurance payments daily and reconcile against contracted rates to catch underpayments
  • Work AR aging aggressively—prioritize claims >30 days with systematic payer follow-up
  • Research and resolve denials within 5 business days, identifying root causes to prevent recurrence
  • Achieve 90%+ collection rate through proactive insurance follow-up and client billing
  • Handle client billing inquiries with empathy, explaining insurance processing and payment responsibilities clearly
  • Build working relationships with payer representatives to resolve issues efficiently
  • Conduct monthly internal audits: review 15-20 claims for coding accuracy, modifier usage, authorization compliance
  • Track audit pass rate (target: ≥95% error-free)

Requirements

  • 5+ years hands-on medical billing experience, preferably in mental health, behavioral health, or outpatient therapy settings
  • Strong insurance billing expertise: Deep working knowledge of claim submission, ERA/EOB interpretation, denial resolution, appeals, authorization requirements, and payer relations
  • Payment reconciliation experience: Track record of comparing payments to contracted rates and catching underpayments
  • Data analysis skills: Proficient with Excel/Google Sheets (formulas, pivot tables, data manipulation) and able to export, organize, and analyze billing data to identify trends and reconcile payments
  • Practice management systems proficiency: Comfortable learning new software quickly (SimplePractice experience a plus)
  • Analytical problem-solving: Can look at reports, spot patterns, diagnose root causes, and propose practical solutions
  • Process orientation: Has created SOPs, workflows, checklists, or training materials that others successfully used
  • Attention to detail: Catches coding errors, payment discrepancies, and process breakdowns that others miss
  • Communication skills: Can explain complex billing issues clearly to clinicians, clients, and leadership
  • Self-directed work style: Comfortable managing own workload with accountability for measurable outcomes
  • Conflict comfort: Willing to have direct conversations when documentation isn't supporting claims, when payers are underpaying, or when processes aren't working
Benefits
  • Full benefits package: Medical, dental, vision, short-term/long-term disability, and life insurance
  • 401(k) with employer match
  • Bi-monthly wellness stipend
  • Discounted pet insurance
  • Paid time off: Vacation, sick leave, and holidays
  • Hybrid schedule: 2 days/week on-site in Lewes and Milton, DE; 3 days remote
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
medical billingclaims submissionERA interpretationEOB interpretationdenial resolutionpayment reconciliationdata analysisExcelGoogle Sheetscoding accuracy
Soft Skills
analytical problem-solvingprocess orientationattention to detailcommunication skillsself-directed work styleconflict comfortempathyrelationship building