Billing Specialist

Cadence Care Network believes in building a cohesive team of managers and staff. We know that our employees are our most valuable assets in delivering quality service to the children and families that we serve. It is our collective goal to evolve, providing quality services to meet the ever-changing needs of the community.

• Pre-audit and submit claims on a daily basis to ensure accuracy and compliance.
• Follow up with providers to obtain missing documentation or required corrections prior to claim submission.
• Manage accounts receivable, including resolving denials, delayed payments, and other discrepancies, while adhering to established timely filing limits.
• Post all commercial, Medicaid, and patient payments accurately and timely.
• Perform insurance verification and report coverage limitations or restrictions as needed.
• Obtain prior authorizations for services requiring authorization.
• Maintain and prepare daily, monthly, quarterly, and annual reports.

• Thorough knowledge of medical billing procedures and revenue cycle processes.
• Demonstrated ability to contact and work with insurance companies regarding outstanding accounts receivable.
• Strong proficiency in Microsoft Excel and Word.
• Ability to work independently with minimal supervision.
• High level of attention to detail and accuracy.
• Strong problem-solving and decision-making skills.
• Effective verbal and written communication skills.

High school diploma or GED

• Associate’s degree in Health Information Management
• Medical Billing and Coding
• Healthcare Administration
• Business Administration

• CPB – Certified Professional Biller (AAPC)
• CBCS – Certified Billing & Coding Specialist (NHA)
• CPC – Certified Professional Coder (AAPC) (more coding-focused)
• CCS – Certified Coding Specialist (AHIMA)