Billing Specialist

• Coordinates and facilitates patient billing and collection activities
• Processes payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications
• Researches payments, denials, and accounts
• Builds strong working relationships with assigned business units

PFS Representative, CBO Billing, Follow-up, Denials Management

• Join as a Patient Billing Specialist, supporting patients with payment processing, billing education, insurance verification, and claims-related inquiries.
• Deliver empathetic, accurate, and compliant service while navigating healthcare billing systems and policies.
• Perform all payment processing and payment plan functions in addition to advanced billing, insurance, and claims support.
• Accurately process patient payments via phone in accordance with Privia financial responsibility policies.
• Create, update, and maintain payment plans following established guidelines.
• Ensure transaction accuracy, proper documentation, and data integrity.
• Interpret and clearly explain claim notes, balances, and billing outcomes to patients.
• Verify, audit, and update insurance information for completeness and accuracy.
• Add or update insurance data within the EMR and resubmit pending or corrected claims.
• Educate patients on billing concepts including coordination of benefits, deductibles, coinsurance, copays, timely filing, and claim denials.
• Identify discrepancies and coordinate with internal teams to resolve billing-related issues.
• Research account history to determine the root cause of billing or payment concerns.
• Recommend appropriate resolutions and next steps in alignment with Privia policies.
• Maintain professionalism and empathy during complex or sensitive financial discussions.
• Utilize Privia-approved billing systems, EMR platforms, tools, and knowledge resources.
• Navigate multiple systems simultaneously while assisting patients.
• Adhere to all documentation, privacy, and security requirements.
• Maintain schedule adherence and consistent availability during assigned hours.
• Complete all required Privia and client-mandated training.
• Participate in ongoing uptraining and cross-training initiatives.
• Uphold HIPAA requirements, confidentiality standards, and Privia security protocols.
• Demonstrate professionalism, accountability, and patient-centered service in all interactions.

Patient Billing Representative

• Perform billing and accounts receivable functions by working collaboratively with Support Specialists, consulting staff, and other associates to support the enterprise’s initiatives.
• Assist with project management and train other associates.
• The Billing Operations Specialist is responsible for delivering timely and accurate client billing across the enterprise.
• This role supports accounts receivable, billing quality assurance, and invoice processing, while also providing secondary operational support for associates that may include, but is not limited to, travel and associate expense operations, scheduling, and client team support on various administrative client matters.
• Working closely with the Revenue Operations and Systems Manager, this position partners with Finance, HR, IT, consulting staff, and client teams to ensure billing accuracy, maintain policy compliance, and identify process improvements.
• The Specialist also contributes to documentation, training, and project management activities to enhance enterprise-wide financial operations.
• Conduct monthly billing QA reporting, including pre-bill adjustments, mark-ups, invoice consolidations, addition of value-added fees and data charges.
• Analyze client work in progress (WIP), prepare and format invoices, coordinate approvals and finalize or reinstate when needed.
• Work with consultants to modify invoice details, enter new clients and project codes, and maintain accuracy and compliance with contract specifications.
• Assist client teams with accurate capture and approval of billable time and expenses.
• Submit finalized invoices by auto e-bill or client-specific portals, ensuring write-offs are properly documented and approved.
• Monitor accounts receivable balances, aged receivables and WIP; resolve billing issues and client inquiries.
• Maintain accurate client billing information updating in coordination with associates and client teams.
• Serve as a subject matter expert on the enterprise’s billing process and related software.
• Continually identify and implement process improvements in billing, time tracking, and travel expense workflows in collaboration with Shared Services departments and business unit leaders.
• Process or serve as a backup for staff record updates (new hires, role changes, permissions) in coordination with HR.
• Help maintain system integrity and assist with upgrades, integrations, and administration of billing, timekeeping, and expense management platforms.
• Assist with project management activities in support of Finance and Operations initiatives, and support travel coordinators with expense submissions.
• Train associates and consulting staff on billing and expense procedures, systems, and best practices.
• Support administration of the organization’s T&E policy by reviewing and monitoring expense submissions and corporate card activity, ensuring compliance with IRS and internal guidelines, and escalating policy exceptions as needed.
• Contribute to internal communications, documentation, and knowledge sharing to ensure consistency across teams.
• Manage special projects, provide subject matter expertise, and train or mentor other billing support staff.
• Interact with department leaders, consultants, or other associates to troubleshoot complex issues.
• Reissue approved reinstated invoices when changes are required.
• Assist with creating and maintaining documentation of procedures regularly to ensure they are up to date and accurate.

Billing Operations Specialist

• Provide Epic product function, design, and build expertise and experience needed for successful product implementation.
• Serve as the primary resource dedicated to application design, validation, and build within assigned area.
• Assess current state, design and implement future-state workflows by interacting with department representatives to analyze business/operational needs, and translate these into proper system configuration.
• Provide demonstration of system functionality; create and submit regular status reports to immediate Lead Analyst/Project Manager/IT Leadership as assigned.
• Coordinate/facilitate organizational meetings and attend weekly team meetings to discuss team and project related activities, issues, changes, communications, and updates.
• Develop, support, and maintain documentation and procedures as needed and provide training to other IT staff and user clients as appropriate.
• Troubleshoot problems identified by team members and end-users, analyze and coordinate system changes, and implement approved changes based on customer-designated priorities.
• Review and test build and new releases/enhancements prior to implementing in the production environment, and maintain established guidelines related to build standards and Change Control processes.
• Collaborate with Principal Trainers in the design and development of role-based training programs to support the workflows to be implemented, and assist with training of end-users on proper use of the system.
• Contribute to preparation of testing scripts, perform unit/system/integrated testing tasks in a structured manner, and appropriately document test results.
• Provide expertise and experience to the development of activation plans, application activation tasks, and production environment readiness.
• Provide on-site support as needed during Go-live/Downtime events.

Senior Analyst – Epic Hospital Billing

• Responsible for the development of strategies aimed at reducing addressable bad debt
• Partner with internal and external stakeholders to implement process improvements
• Direct interfacing with clients and/or Sales to address outstanding client balances
• Coordinate and work with Corporate Billing on customer facing initiatives
• Provide billing training to phlebotomists, Sales, and clients
• Work with clients and divisional employees to resolve billing issues
• Conduct comprehensive client audits to assess denials
• Engage and provide leadership for monthly sales meetings

Key Account Billing Specialist – Healthcare

• Execute monthly billing cycles across multiple business segments using SAP BRIM
• Review and validate rating, charging, and invoicing data
• Perform detailed pre- and post-billing reconciliations
• Conduct audits of billing data to ensure compliance
• Develop and maintain billing dashboards and KPI reports
• Collaborate with various teams to support billing dispute resolution

Billing Analyst

• Responsible for planning, directing, organizing, monitoring and staffing departmental services.
• Oversees and coordinates the insurance billing function, including claims submission, follow-up, and denial management.
• Supports staff in maintaining accuracy and timeliness in claims processing.
• Develops and implements quality assurance initiatives and monitors compliance with payer and policy requirements.
• Conducts regular audits and analyzes performance metrics.
• Partners with Revenue Cycle leadership on training and process improvement initiatives.

Insurance Billing Supervisor – Full Time, Day Shift

• Perform high-volume billing data entry and complete assigned billing workflows (e.g., reporting, work queues, inventory tracking)
• Review, validate, and process claims to support accurate billing and timely reimbursement
• Contact insurance payors to resolve claims, denials, and billing discrepancies
• Review insurance eligibility, benefits, and coverage to support accurate claim submission and prevent errors
• Analyze billing issues, perform root cause analysis, and resolve denials, rejections, and discrepancies
• Monitor claim status and follow up on outstanding accounts to support timely payment
• Track productivity and quality metrics, including error rates, volume, and case completion
• Maintain accurate documentation and ensure compliance with payer and operational requirements
• Develop and update SOPs and support process improvements to enhance billing accuracy and efficiency
• Train and support team members on workflows, systems, and process updates

Billing Coordinator III

• Supports the Billing Operations team by reviewing, validating, and ensuring the accuracy of customer invoices across multiple billing cycles and business segments.
• Focuses on post-generation quality assurance, identifying discrepancies, and collaborating with analysts, IT, and finance teams to ensure all invoices are correct before release.
• Contributes directly to billing accuracy, timeliness, and compliance with company policies and customer contracts.
• Reviews invoices after system generation to confirm pricing, formatting, and charge accuracy before distribution to customers.
• Conducts quality assurance checks across all billing cycles to ensure completeness and consistency.
• Compares invoice data to source systems, billing inputs, or customer contracts to validate correctness.
• Identifies and documents billing variances or recurring issues and escalates to the Billing Operations Supervisor or Analyst for resolution.
• Partners with cross-functional teams to resolve discrepancies impacting invoice accuracy or timing.
• Maintains records and logs of quality reviews, corrections, and cycle validations for audit and compliance purposes.
• Supports end-to-end testing and validation during system updates, migrations, or new product introductions.
• Participates in process improvement efforts to enhance billing efficiency and data integrity.

• Lead all Medicaid billing processes (network and out-of-network) across our multi-state operations.
• Manage and optimize performance of our third-party billing vendor handling out-of-network claims.
• Track and improve key revenue cycle metrics including days in A/R, denial rates, collection ratios, and first-pass claim acceptance.
• Collaborate with clinical, medical, and administrative teams to ensure accurate documentation, timely charge entry, and proper coding.
• Leverage our EMR and RCM platforms (experience with Kipu and/or Collaborate MD strongly preferred).
• Manage claim submissions, follow-up, appeals, payer relations, and reimbursement optimization with a primary focus on Medicaid.
• Develop billing workflows, policies, and internal controls to support scalability as the organization grows.
• Provide leadership, training, and mentorship to internal billing staff while maintaining strong coordination with external partners.
• Monitor regulatory changes, payer policies, and industry updates affecting behavioral health billing.
• Deliver regular performance reports and revenue forecasts to senior leadership.

Billing Director

• Processing and managing billing transactions
• Processing client bills, including uploading to the client’s ebilling system as required
• Ensuring compliance with client fee deals, local regulations, tax requirements, and internal billing policies
• Accurately processing time and cost transfers and write-offs/write-downs
• Maintaining a proper audit trail of work performed
• Acting as a liaison for internal stakeholders
• Investigating and resolving discrepancies or disputes related to client accounts
• Generating and analyzing financial reports related to billing processes
• Ensuring all billing processes comply with relevant regulations and firm policies
• Identifying opportunities to streamline and improve billing processes
• Train new team members on processes

Global Billing Analyst

• Communicate effectively to resolve discrepancies
• Process and maintain membership data
• Perform billing and accounts receivable activities
• Create and distribute membership materials

Billing Specialist jobs in North Carolina

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PFS Representative, CBO Billing, Follow-up, Denials Management

Patient Billing Representative

Billing Operations Specialist

Senior Analyst – Epic Hospital Billing

Key Account Billing Specialist – Healthcare

Billing Analyst

Insurance Billing Supervisor – Full Time, Day Shift

Billing Specialist

Billing Coordinator III

Billing Specialist

Billing Director

Global Billing Analyst

Enrollment and Billing Representative