Billing Specialist

At-a-Glance: Are you ready to build your career by joining a healthcare provider? If so, our client is hiring a Billing Specialist.Position Type:

• Contract 
• 13 Weeks Contract

Required:

• High school diploma or equivalent required
• Associate's degree in a related field preferred
• Minimum 1-2 years of medical billing experience
• Hospital or Critical Access Hospital billing experience preferred
• Knowledge of CPT, ICD-10, HCPCS coding, and revenue codes
• Familiarity with UB-04 and CMS-1500 claim formats and Medicare/Medicaid billing requirements
• Experience with TruBridge or comparable community hospital EHR/PM system preferred
• Strong attention to detail, organizational skills, and ability to meet deadlines
• Proficiency in Microsoft Office Suite
• PREFERRED: Experience with multi-service line facility billing including SNF, swing bed, and outpatient services
• LICENSES AND CERTIFICATIONS: Preferred: CPB (Certified Professional Biller) or CPC

Responsibilities:

• Prepare and submit clean UB-04 and CMS-1500 claims to Medicare, Medicaid, commercial, and other payers across all service lines in a timely manner.
• Verify insurance eligibility and benefit information as part of the pre-billing process.
• Review claims for accuracy of codes, modifiers, revenue codes, patient demographics, and payer-specific edits within TruBridge.
• Monitor TruBridge claim edit and hold queues and resolve errors prior to submission.
• Conduct follow-up on unpaid, rejected, or pending claims and initiate appropriate corrective action.
• Maintain current knowledge of CAH billing requirements, swing bed billing, Medicare cost-based reimbursement, and payer-specific guidelines.
• Document all billing activity and account notes accurately and timely in TruBridge.
• Assist with month-end reporting and reconciliation as directed by the Business Office Manager.
• Perform other duties as assigned by the Director, CBO or HIM Manager.
• Assist with cross-training and support of other CBO staff as needed.

Get in Touch: We want to hear from you! If you think you'd be a good match, submit your resume and reach out to Shrishti at (201) 366-0647 to learn more.