Billing Specialist (Colombia)

The Billing Specialist supports the revenue cycle for behavioral health claims across multiple Pennsylvania insurance payers. The role focuses on submitting clean claims, working outstanding balances, resolving denials and rejections, and ensuring no revenue is lost to timely filing.

In addition to core billing responsibilities, the specialist will be trained on the full Accounts Receivable cycle including pre-billing review, cash posting, and aging follow-up.

Duties and responsibilities

• Pre-Billing Review: Run required reports before each billing cycle to identify incomplete notes, missing authorizations, and billing setup issues. Document findings and flag all blockers before any batch is released.
• Claim Submission: Prepare and submit clean, accurate claims to insurance payers through Inovalon. Verify CPT codes, place of service, rendering provider NPIs, and authorization numbers before submission.
• Rejection Follow-Up: Review all cl...