Billing Specialist

• Prepare and submit professional claims
• Correct routine claim errors and rejections
• Work assigned billing and follow‑up queues in Epic
• Apply foundational knowledge of CPT, ICD‑10‑CM, modifiers, and payer rules
• Meet productivity, quality, and timeliness standards

Professional Billing Specialist – Follow Up and Denials

• Prepare, review, and submit Medicare Part A & B claims for skilled nursing residents.
• Ensure timely and accurate billing in accordance with CMS and SNF-specific guidelines.
• Verify resident insurance eligibility, including benefits and coverage under Medicare.
• Monitor and reconcile claims for proper payment, and identify/resolve any discrepancies.
• Track, appeal, and resolve denied or rejected claims efficiently.
• Collaborate with MDS coordinators to ensure billing aligns with clinical documentation under PDPM.
• Maintain current knowledge of Medicare regulations, SNF billing codes, and HIPAA compliance.
• Communicate with Medicare MACs, community staff, and insurance providers as needed.
• Generate aging reports and assist in collection efforts when required.
• Support audits and provide documentation for compliance reviews.

• Own the end-to-end billing process across subscription and usage-based revenue
• Ensure timely and accurate invoice generation
• Manage billing queue, prioritization, and execution
• Review and resolve complex billing scenarios (proration, expansions, terminations)
• Make real-time decisions to ensure billing continues moving forward
• Reduce dependency on manual review by standardizing workflows
• Manage AR team supporting billing and collections
• Ensure work is completed accurately and on time
• Provide guidance, prioritization, and accountability
• Partner with systems teams to improve automation and workflows
• Provide feedback on process gaps and inefficiencies
• Support adoption of new tools and processes
• Identify opportunities to simplify billing workflows
• Reduce manual effort through better process design
• Improve invoice quality and reduce customer inquiries
• Track and report on key billing metrics, including billing efficiency, cycle time, and accuracy

Billing Manager

• Ensure strict HIPAA-compliant confidentiality with all client data and claims
• Manage and operate in multiple different billing platforms dependent on client needs which could include Azalea, Tebra, Central Reach and/or Rethink Integrated Billing Module
• Manage assigned client accounts billing scrubs for primary and secondary claims
• Submit claims electronically for primary and secondary payors
• Solve clearinghouse rejections
• Submit corrected claims for billing errors, rebill projects (new plans/new year, new information on payor policies)
• Maintain account spreadsheets, billing cheat sheets, provider, and billing information including provider roster and payer policy billing rules
• Contribute to updates and communicate to Customer Billing Advocate and other members of POD
• Provide internal reporting to team of status and issues for clients within POD
• Meet internal benchmarks for clean claims / first pass rate, unbilled claims, clearinghouse rejections, secondary claims, and denials for billing errors
• Research specific payor billing rules as needed
• Review client billing documentation to ensure claims are submitted based on payor requirements
• Stay informed about Payor and Industry Billing rules
• Foster a positive work environment for team members

• Performs advanced billing and collection activities
• Acts as Lead IBC Assistant
• Makes collection calls, verifying accuracy and completeness of claims
• Contacts insurance companies and collection agencies to expedite payments
• Handles discounts, adjustments, and charge corrections
• Makes collection calls to ensure timely payment of claims
• Reviews remittance advises for rejection and accuracy
• Verifies accuracy and completeness of charge tickets
• Monitors attachments for claims to obtain maximum reimbursements
• Supports customer service unit in answering billing and collection questions

Insurance Billing/Collection Assistant III – Physicians Billing Service

• Assist with initiating and implementing of all aspects of the monthly client billing process including: Review and edit monthly proformas as instructed by the Billing Attorney via Paperless Proforma.
• Modify time and cost entries as directed.
• Write offs and write downs.
• Completing transfers, dividing, and combining timecards.
• Ensuring rates are accurate.
• Applying available funds to billing as instructed.
• Verify accuracy of billing.
• Compile supporting back-up documentation, per client billing guidelines as required.
• Acquire and maintain proper approval documentation.
• Finalize and distribute invoices in accordance with Firm and Client guidelines.
• Research and respond to billing inquiries from both attorneys and clients in a timely and professional manner.
• Submit invoices by mail, email, e-billing via eBillingHub and other e-billing vendors as required.
• Set up matters for e-billing on vendor sites and within the firm’s billing system.
• Address and resolve billing disputes and discrepancies in a timely manner.
• Coordinate appeals for rejected invoices.
• Provide client accruals, status updates and budgets upon request.
• Communicate with attorneys, clients, or staff to address billing questions, as needed.
• Maintain contact with attorneys, staff, and clients and observes confidentiality of client and firm matters.
• Answer questions regarding billing processes and procedures.
• Collaborate with other departments as needed for Accounts Receivable, client and matter setup, rate management, trust accounting, unallocated funds, and billed on account funds.
• Maintain addresses, invoices templates, and e-billing information within the firm’s billing system.
• Assist with customized reporting requirements for internal/external clients.
• Effectively prioritize numerous tasks and complete within designated time deadlines.
• Manage monthly reports surrounding billing workload.
• Other duties as assigned.

• Act as a primary financial point of contact for customers, managing billing inquiries, payment discussions, and dispute resolution with professionalism and commercial awareness
• Review, structure, and process complex customer contracts and purchase orders in partnership with Sales, Legal, and Revenue Operations
• Ensure accurate order setup and billing alignment with contractual terms, pricing structures, and subscription models
• Own the end-to-end billing process across business units, ensuring invoices are accurate, timely, and compliant with contract terms
• Manage the Group’s debtors ledger, maintaining accuracy, integrity, and timely follow-up on outstanding balances
• Lead collections efforts, conducting firm yet relationship-focused conversations with customers to drive timely payments
• Handle complex billing disputes and escalations, balancing customer satisfaction with company policy and revenue protection
• Manage customer onboarding processes, oversee portal administration, and coordinate purchase order management to ensure smooth and efficient operations
• Perform detailed account reconciliations, identifying root causes of discrepancies and implementing preventative solutions
• Monitor and analyze debtor balances on a regular basis, identifying trends, risks, and opportunities for improvement
• Prepare and present aged receivables reporting with actionable insights and recommendations
• Partner closely with Sales, GTM Leadership, Legal, and Finance to streamline contract-to-cash workflows
• Act as a subject matter expert on billing and invoicing processes, clearly communicating financial concepts to non-finance stakeholders
• Identify and drive process improvements to enhance billing accuracy, customer experience, and operational efficiency
• Contribute to special projects focused on scaling systems, improving reporting, and optimizing customer financial interactions

Senior Billing Analyst

• Interface with Shared Services, Service Work Order Team (SWOT) to maintain compliance to customer invoicing requirements
• Manage Non-Quoted Repair (NQR) special billing requirements
• Analyze NQR Service Orders to identify orders requiring further review
• Collaborate with all key stakeholders during maintenance and repair projects

Billing Coordinator

• Interface with Shared Services, Service Work Order Team to maintain compliance with invoicing requirements
• Manage Non-Quoted Repair (NQR) special billing requirements
• Analyze Non-Quoted Repair (NQR) Service Orders for necessary reviews with management
• Collaborate with key stakeholders during maintenance and repair projects

• Coordinate and audit electronic invoice submissions of the billing team.
• Ensure all e-billing procedures are being followed in an accurate and timely manner.
• Provide excellent customer service to internal and external customers; escalate any potential service delivery issues to the manager.
• Document and maintain e-billing vendor instructions and templates.
• Responsible for generating and reviewing monthly reports surrounding e-billing items to administer deadlines and maintain data that may require continuous follow up.
• Mentoring assigned Billing Specialists: Guidance with electronic billing setups in 3E Matter Maintenance, eBillingHub, and third party electronic billing vendor websites.
• Assistance with resolving invoice rejections and reductions.
• Maintain electronic billing application; monitor outstanding and rejected electronically billed invoices: Assist receivable team with appropriate reports and work with group to ensure timely response in resolution of short paid electronic invoices.
• Responsible for assisting with new client electronic billing setups.
• Client Billing: Assist with initiating and implementing of all aspects of the monthly client billing process including: Maintain telephone and personal contact with clients, attorneys and staff on billing matters Modify time and cost entries as directed Compile necessary back-up documentation per client billing guidelines Acquire and maintain proper approval documentation Print/mail or electronically submit client invoices.
• Utilize computerized accounting and billing software applications.
• Maintain contact with attorneys, staff, and clients and observes confidentiality of client and firm matters.
• Provide electronic billing education training as needed.
• Evaluate and recommend new process improvements.
• Perform special projects and other duties as assigned.
• Manage the day-to-day changes required to maintain accurate client information

Lead Electronic Billing Specialist

• Complete billing process and meet billing due dates
• Prepare and distribute invoices
• Implement pricing tiers
• Maintain timely billing follow up with all parties involved
• Research and resolve client inquiries and issues
• Responsible for ensuring invoices get added to various client e-billing websites
• Communicates with clients regarding issues on past due accounts, including collections calls
• Process Credit Card transactions
• Resolve revenue related issues and follow-up on outstanding items
• Process write-offs following the Company’s policy
• Assist with special billing projects as needed

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