Billing Specialist

Essential Duties and Responsibilities

Posts insurance and patient payments accurately based on Explanation of Benefits (EOBs) and 835 electronic remittance advice files. Reviews and resolves insurance claim denials and rejections by researching discrepancies and resubmitting or appealing claims as needed. Responds to client billing inquiries, providing clear and professional communication regarding account balances and payment status. Analyzes account balances to identify posting errors, over payments, and necessary adjustments, processes of write-offs in accordance with agency policy and payer guidelines.

Prepares and processes refunds to clients and insurance companies when appropriate. Monitors and maintains accurate accounts with receivable records, ensuring compliance with payer requirements and internal procedures. Stays current with billing and insurance regulations, payer updates, and reimbursement changes to ensure ongoing compliance and efficiency. Collaborates with other billing team members to support overall revenue cycle operations and process improvements.

Functional/Technical Skills Integrity & Trust Organizing Problem Solving Attention to Detail Supervisory Responsibilities None

This position is full-time, 40 hours per week. Works out of Providents St. Louis City office, with option to work remotely no more than 50% of time. Ability to travel to other Provident sites and community-based locations, when needed. Must have a reliable high-speed internet connection to work remotely. Must be able to lift up to 20 pounds. Have the ability to sit for long periods of time.

Work hours generally fall between Monday and Friday, 7:00 am 6:00 pm, with availability to support employees outside of standard work hours, when needed.

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