Billing Specialist

Billing Specialist

Families & Youth Innovations Plus (FYI+)

Position: Full-Time

Status: Non-Exempt / Hourly

Hourly Rate: $15.38 - $18.62 (3 levels based on experience and education)

Department: Finance / Billing Department

Job Summary

The Billing Specialist is responsible for managing the accurate preparation, submission, and tracking of claims and payments for services rendered. This role ensures that billing processes are completed promptly and in compliance with organizational policies, contracts, and payer requirements. The Billing Specialist reviews billing data for accuracy, submits claims or invoices, monitors accounts receivable, and follows up on outstanding balances or denied claims. They also assist with payment posting, reconciliation, and reporting, while communicating with clients, payers, and internal departments to resolve billing discrepancies.

What you’ll Do

• Submit electronic or paper claims to insurance companies or payers
• Verify claims meet payer requirements before submission
• Ensure billing data is accurate, complete, and compliant with contracts or payer rules
• Correct and resubmit denied or rejected claims
• Investigate reasons for denial
• Make corrections and resubmit as needed
• Record incoming payments and apply them correctly to accounts
• Reconcile payments against invoices and account balances
• Identify and resolve discrepancies
• Monitor outstanding balances and follow up on overdue accounts
• Communicate with payers regarding unpaid invoices
• Assist with collection efforts when necessary
• Enter charges into billing systems on time, when needed for specific programs
• Maintain accurate billing records and audit trails
• Update account information in billing systems
• Ensure compliance with company policies and regulations
• Respond to billing inquiries professionally and timely manner
• Assist with monthly eligibility
• Coordinate with internal departments (insurance specialist, intake, finance, etc.)
• NMStar registers every client who doesn’t have insurance.

What You Need

• High school diploma or GED equivalent
• Minimum of 2–3 years of experience in billing, accounts receivable, or Mental health revenue cycle operations
• Proficiency with Electronic Health Record (EHR) systems and/or medical billing software
• Strong computer skills, including Microsoft Office Suite (Word, Excel, Outlook)
• Working knowledge of insurance billing processes, claims submission, and payment posting
• Knowledge of HIPAA regulations and patient confidentiality requirements
• Strong attention to detail and accuracy in financial and billing data entry
• Excellent verbal and written communication skills for payer and client interactions
• Ability to analyze and resolve claim denials, billing discrepancies, and account issues
• Ability to multitask and manage high-volume workloads in a fast-paced environment