Billing Specialist

• Process and manage billing for assigned accounts and/or entities
• Ensure invoices are accurate, complete, and submitted in a timely manner
• Maintain billing records and documentation for all assigned work
• Coordinate with operations and account management to confirm work completion status prior to invoicing
• Review work order documentation, photos, and closeout records to validate billing accuracy
• Identify and resolve any gaps or discrepancies between completed work and billing records
• Apply accurate pricing to completed work orders in applicable systems (Salesforce, OfficeTrax, and/or client portals)
• Process pricing updates and invoice entries as assigned, including specialty trade pricing where applicable
• Coordinate with account coordinators on closeout pricing tasks to ensure consistent billing flow
• Identify and proactively resolve billing discrepancies, disputes, or submission errors
• Escalate unresolved billing issues to the appropriate account or operations team member
• Support revenue reporting and reconciliation for assigned accounts and entities
• Maintain organized records to support financial reviews and audits

Billing Coordinator

• 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

• Set up and maintain project data, contracts, and client information in the ERP system (Deltek Vantagepoint)
• Own monthly invoicing for 20+ Engagement Managers, reviewing and finalizing 100+ pre-bills per cycle
• Execute complex billing, including split-party, multi-payor, and flat-fee invoicing
• Coordinate with Engagement Managers to resolve discrepancies and ensure timely, accurate billing
• Ensure all electronic billing guidelines are strictly followed and e-billing issues are resolved swiftly
• Maintain comprehensive, up-to-date billing records, client preferences, approvals, and process documentation
• Ensure compliance with internal controls, audit requirements, and client-specific billing agreements
• Monitor WIP, proactively flag at-risk billings, and partner with managers to minimize write-offs
• Analyze aged accounts receivable and unapplied cash, collaborating bi-monthly with managers to resolve outstanding or disputed items
• Respond to internal and external billing inquiries professionally and in a timely manner
• Provide regular billing and AR reports for management review
• Serve as primary billing point of contact during team absences
• Support billing teammates as needed and participate in special projects to optimize billing process.

Project Billing Specialist

• To issue invoices to customers.
• Review orders and work orders for correct documentation.
• Perform detailed, analytical clerical work.
• Close out shipments with correct base and accessorial charges according to customer tariffs.
• Communicate effectively with customers and owner-operators regarding potential issues.
• Track, collect, and evaluate all billing documents to ensure necessary information is available for successful invoicing.
• Bill customer invoices using transportation software (Trinium System).
• Verify drivers' trip logs and approve driver payments.
• File and scan paperwork.

• Contact third party payers to verify eligibility, obtain claim status and take steps to properly resolve CMS 1500/837P claims
• Utilize various internal and online follow up tools provided by Westerkamp Group, LLC and our clients to resolve accounts
• Critically analyze account balances, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), denial reason codes (CARC), and remittance advice remark codes (RARC) on CMS-1500 /837P claim forms to determine the root cause of denials
• Maintain workqueues and track trends that can be escalated to management
• Clearly notate accounts per Westerkamp Group or client specific standards
• Review paper correspondence and take necessary action to resolve insurance payer requests
• Analyze and submit cash posting payment and contractual adjustment errors
• Adhere to strict compliance guidelines related to HIPAA

Billing Insurance Follow Up Analyst

• 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

• Oversee all billing operations for Pain Management Practice
• Ensure accurate, compliant, and timely billing for clinic visits, interventional procedures, injections, diagnostics, and rehabilitation services
• Drive clean claim submission and optimal cash flow
• Manage billing for clinic visits, interventional pain procedures, injections, diagnostics, and rehabilitation services
• Ensure accurate charge entry, claim creation, and timely submission
• Serve as subject matter expert for pain management billing, fees schedules, liens, and direct bill processes
• Supervise billing staff, set productivity standards, and conduct performance reviews
• Partner with coding, authorization, AR, and clinical teams to resolve claim issues
• Monitor billing KPIs including clean claim rate, billing lag, and rejection trends
• Conduct audits and implement corrective action plans as needed

Billing Manager

• Manage the monthly and annual billing process for respective line of business focus area(s).
• Responsible for coordinating and organizing schedules, processes, and procedures for the timely billing of the firm’s services.
• This includes meeting with key stakeholders, ensuring compliance with standard billing practices, education of primary billers, and implementation of standard billing practices.
• In collaboration with the Billing/AR Leader, cultivate seamless and highly effective working relationships, interoperability, and lines of communication with the Firm’s Owners, line of business leaders, cross functional stakeholders, and across the finance organization.
• Act as a key contributor in the preparation of the periodic financial presentations, working closely with the finance peers and line of business leaders.
• In collaboration with the Billing Leader, develop a deep understanding of the Firm’s practices, clients, and business, and evaluate and drive corresponding functional enhancements, operational efficiencies, innovation, and continuous improvement across the Firm’s revenue functional areas.
• Provides effective leadership to billing Managers and/or their teams through planning appropriate staffing levels; interviewing, selecting, orienting, and training; communicating performance expectations & providing feedback on performance, recognition, coaching, employee counseling reports and/or discipline including termination; innovative and strategic leadership guiding employees through process changes; creating career growth opportunities and employee development plans.
• Other duties as assigned.

Billing Director

• Own day-to-day, weekly, and monthly customer billing activities in Zuora for SaaS subscriptions, implementation fees, professional services, usage or overage charges, renewals, amendments, and one-time charges.
• Review executed contracts, order forms, amendments, renewals, cancellations, and customer requests to determine correct billing treatment before invoices are generated.
• Prepare, validate, and execute bill runs, invoice batches, credit memos, debit memos, rebills, and billing corrections in accordance with the billing calendar and approval policies.
• Ensure invoice data accuracy, including product, rate plan, quantity, term, service period, billing frequency, discounts, payment terms, bill-to and sold-to information, purchase order details, tax treatment, and invoice delivery requirements.
• Proactively identify billing errors, contract discrepancies, missing data, and system issues before invoices are delivered to customers.
• Serve as a hands-on Zuora Billing subject matter expert for customer accounts, subscriptions, amendments, cancellations, ramp deals, rate plans, charge segments, invoice schedules, billing batches, credit memos, and debit memos.
• Maintain accurate customer, subscription, and billing data in Zuora and ensure the system reflects executed contract terms and approved billing policies.
• Troubleshoot Zuora bill run errors, invoice generation issues, credit memo processing issues, billing holds, failed integrations, and downstream ERP discrepancies.
• Partner with Accounting, Revenue Operations, and systems teams to ensure Zuora billing activity aligns with Oracle Fusion and related order-to-cash systems.
• Support Zuora enhancements, testing, data cleanup, and process improvements that improve billing accuracy, controls, and scalability.
• Evaluate and process customer credits, service credits, concessions, debit memos, rebills, refunds, cancellations, write-offs, and other billing adjustments in accordance with approval policies and documentation standards.
• Understand and explain the accounting impact of billing activity on accounts receivable, revenue, deferred revenue, contra-revenue, tax, and general ledger account mapping.
• Partner with Revenue Accounting or Technical Accounting before processing credits, adjustments, or non-standard billing items that may affect revenue recognition or financial reporting.
• Maintain clear audit-ready documentation, approvals, support, and rationale for all credits, rebills, write-offs, and adjustments.
• Identify root causes of recurring billing corrections and recommend controls or process changes to prevent repeat issues.
• Prepare billing-related month-end close support, including invoice and credit memo summaries, billing exception reports, billing accrual support, and reconciliations as required.
• Reconcile Zuora billing activity to Oracle Fusion and support tie-outs for accounts receivable, deferred revenue, unbilled items, billing holds, and open billing exceptions.
• Research and resolve billing discrepancies, failed bill runs, unprocessed charges, unapplied credits, and other exceptions within established close timelines.
• Support internal and external audit requests with complete, accurate, and timely billing documentation.
• Follow control requirements for approvals, segregation of duties, invoice review, credit memo review, data changes, and billing exception resolution.
• Work closely with Sales Operations, Legal, Customer Success, Implementations, Collections, FP&A, Revenue Accounting, and Accounting to resolve order-to-cash issues.
• Translate contract terms and billing requirements into clear actions for internal teams and ensure handoffs are complete before billing is processed.
• Investigate customer billing inquiries and disputes; provide accurate explanations, support, and resolution options in a professional and timely manner.
• Communicate risks, delays, and billing exceptions early so issues are resolved before they affect customers, cash collection, or financial close.
• Support cross-functional deal review for non-standard terms that affect billing setup, invoicing, credits, payment terms, or accounting treatment.
• Create, maintain, and improve SOPs, checklists, and controls for Zuora billing, credit memos, debit memos, rebills, amendments, cancellations, and month-end billing reporting.
• Recommend system and process improvements that reduce manual work, billing errors, customer disputes, and rework.
• Lead root-cause analysis for recurring billing issues and partner with systems and operations teams to implement durable fixes.
• Provide quality review, coaching, and support to Billing Specialists; set the standard for accuracy, documentation, accountability, and customer service.
• Help build a scalable billing function focused on operational excellence, compliance, timely execution, and continuous improvement.

Senior Billing Specialist

• Supports the complete and timely collection of revenue for assigned groups by performing accurate coding and entry of patient and charge information into the billing system.
• Tracks all high dollar claims from charge entry to payment and resolves complex carrier issues.
• Actively follows up on outstanding complex claims/or charges.
• Reviews and resolves complex issues that result in payer denials, including appeals, coding corrections, medically necessity rules and other related functions.
• Assists the auditor in reviewing notes for medical necessity.
• Works with the authorization department to resolve authorization issues with complex procedures.
• Runs and maintains tracking logs to track complex high dollar procedures and report the results to the billing department management team.
• Contacts the various Provider Service Representatives to resolve repetitive payment issues.
• Acts as a resource for the Billing Staff for complex issues.
• Analyzes and resolves billing issues, keeping A/R to no more than 10% over 60 days.
• Processes daily correspondence, claim status, handle denials, appeals and re-bills.
• Answers billing questions and inquiries from patients and internal staff.
• Updates patient files with address changes, contact information changes, etc., as needed.
• Reviews all policy changes on a regular basis and informs supervisor and charge entry specialist of such changes.
• Efficiently navigates assigned insurance companies' proprietary websites to find policies, research payments, etc.
• Keeps supervisor apprised of matters regarding accounts receivable.
• Responds to requests from billing company in a timely fashion.
• Researches denials and submits correct claims/medical documentation.
• Reviews and manages claims within the work dashboard hold buckets for resolution.
• Creates, maintains and updates reports, as directed.
• Exercises confidentiality in all areas, abiding by HIPAA rules and regulations.
• Helps train new revenue cycle staff.
• Collects and reviews end of day reports.
• Checks work e-mail on a regular basis throughout the workday.
• Participates in and completes all required trainings and in-services.
• Performs other duties as assigned.

Billing Specialist II

• Assembling and maintaining all necessary documentation for billing purposes
• Maintaining billing system database
• Identifying, analyzing and reconciling discrepancies in data
• Posting to sub ledgers
• Coordinating account eligibility with Membership areas
• Providing billing information to internal and external contacts
• First line collections
• Professional and timely oral or written communication to internal and external customers
• Fully proficient with daily tasks and able to handle more complex billing situations with minimal guidance.

• You will have responsibilities covering all aspects of billing and expense operations supporting client and fund fee processes.
• You will work closely with associates across the business and act as a primary contact for daily operational needs, while providing direction, leadership, and support in collaboration with partners across the organization.
• This role is an individual contributor position at the manager level and requires a hands-on approach to executing complex billing activities, including management and performance fee calculations, while helping to enhance processes and controls.
• In addition to operational responsibilities, you will contribute to improving workflows, supporting key initiatives, and collaborating with internal teams including Fund Accounting, Institutional Client Services, Corporate Accounting, and more.
• Provide guidance and expertise in billing processes, including client invoicing and fund-level management and performance fee calculations.
• Perform detailed review of fee calculations, allocations, and supporting financial data.
• Support implementation and enhancement of operational processes and procedures.
• Coordinate and manage workflows associated with monthly and quarterly deliverables.
• Evaluate systems, processes, and reporting for efficiency and effectiveness.
• Coordinate testing of system or process enhancements and communicate results.
• Provide functional expertise, problem resolution, analysis, and reporting across billing and expense activities.
• Ensure deliverables are completed within established timelines and in accordance with policies and controls.
• Identify risks and ensure appropriate controls are in place and operating effectively.
• Collaborate with stakeholders to improve processes and drive operational efficiency.

Manager, Billing & Expense

• Manage the Resident Billing Research Queue and investigate, research, and resolves matters of significance regarding utility billing.
• Reviews work prepared by Resident Billing Operations to identify financially impacting errors.
• Applies adjustments to future billings periods when financially impacting errors occurs.
• Completes root cause analyses on financially impacting errors to identify gaps in current processes.
• Collaborates with operational leaders on recommendations and remediation plans to ensure issues are adequately addressed.
• Handles escalations from client success using full discretion on course of action to remedy the problem and deliver on time accurate billing.
• Analyze system alerts for accuracy of billing and rate calculation prior to client review.
• Complete and review billing changes and line-item allocation for regulatory compliance.
• Provide supplemental operational and tactical support to Operation team when bandwidth allows.

Resident Billing Analyst II

• Provide empathetic, patient-centered support through communication software
• Serve as a trusted resource for patients seeking assistance with their care journey.
• Answer routine billing questions, including helping patients understand statements and account balances.
• Explain basic insurance concepts such as deductibles, copays, coinsurance, and patient responsibility.
• Provide general education on in-network and out-of-network coverage.
• Confirm insurance information on file and assist with basic eligibility questions.
• Help patients understand where their accounts are within the billing process.
• Communicate billing-related updates provided by the Revenue Cycle team.
• Act as a liaison between patients, providers, billing specialists, and internal teams.
• Escalate complex billing or insurance concerns to the appropriate team.
• Provide warm handoffs with complete context to minimize patient frustration.
• Maintain accurate documentation of all patient interactions.
• Handle sensitive patient information with professionalism and confidentiality.
• Identify recurring patient concerns and share feedback that may improve the patient experience.

Patient Billing 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 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

• The Billing Specialist supports Vendor Neutral Billing and Accounts Receivable (AR) functions for healthcare traveler assignments across multiple client facilities.
• This role is responsible for accurate time entry, invoicing, and billing reconciliation, ensuring compliance with facility-specific billing rules.
• The Billing Specialist manages high-volume billing activities, resolves discrepancies, and partners with internal and external stakeholders to maintain accurate financial records and timely invoice processing.
• Enter and validate time data from Kronos, agency submissions, and VMS platforms.
• Manage time entry and billing workflows across Vendor Management Systems (VMS) such as Medefis and Shiftwise.
• Ensure compliance with client-specific billing rules, pay rates, and invoicing requirements.
• Generate and submit accurate invoices within defined billing cycles and approval timelines.
• Review traveler assignments and input data to support accurate billing and invoicing.
• Investigate and resolve billing discrepancies, time entry issues, and invoice disputes.
• Partner with internal teams to support AR processes, including invoice corrections and payment follow-up.
• Assist with financial system uploads (e.g., Great Plains) to ensure accurate billing records.

• Calculate, prepare and issue documents related to accounts such as bills, invoices, account statements and other financial statements.
• Compile budget data and documents based on estimated revenues and expenses and previous budgets.
• Prepare period or cost statements or reports.
• Respond to customer inquiries, maintain good customer relations and solve problems.
• Perform related clerical duties, such as word processing, maintaining filing and record systems, faxing and photocopying.
• Performs billing duties including preparation of billings.
• Responsible for accurate and timely preparation of billing invoices.
• Serve as a primary customer contact for billings.
• Maintain appropriate files and documents.
• Recommend payment arrangements for unpaid customer balances.
• Produce reports, letters, and other correspondence, as needed.
• Post billing data to profit/loss reports, balance sheets, income statements, and other documentation.
• Gather appropriate information for billing purposes, as necessary.
• Perform other duties as assigned.

Billing Administrator, WMS

• Maintains billing system database
• Identifies, analyzes and reconciles discrepancies in data
• Posts to sub ledgers
• Coordinates account eligibility with Membership areas
• Provides billing information to internal and external contacts; and first line collections
• Professional and timely oral or written communication to internal and external customers
• Fully proficient with daily tasks and is able to handle more complex billing situations with minimal guidance and provide recommendations for decision making

• 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

Billing Specialist jobs in Texas

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Billing Coordinator

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

Project Billing Specialist

Billing Coordinator

Billing Insurance Follow Up Analyst

Billing Operations Specialist

Billing Manager

Billing Director

Senior Billing Specialist

Billing Specialist II

Senior Billing Specialist

Manager, Billing & Expense

Resident Billing Analyst II

Patient Billing Specialist

Senior Analyst – Epic Hospital Billing

Insurance Billing Supervisor – Full Time, Day Shift

Billing Specialist

Billing Administrator, WMS

Senior Billing Specialist

Professional Billing Specialist – Follow Up and Denials