The Billing Specialist is responsible for supporting the organization's revenue cycle, with a primary focus on managing accounts receivable for Medicare Part B, Medicaid, and other third-party insurance payers. This includes monitoring aging reports, following up on unpaid and underpaid claims, resolving denials and rejections, and submitting appeals and corrected claims. The Billing Specialist also supports claim submission and ensures required documentation, billing data, payments, and financial records are processed in accordance with company policies, payer requirements, and applicable State and Federal regulations.

• Responsible for monthly Medicaid, Medicare Part B, and other insurance billings along with timely follow-up with intermediaries and commercial insurance carriers on delinquent payments
• Obtains and submits all required documentation to bill third party payers as per program/company guidelines
• Inputs any ancillary and charge data into the billing system and/or Excel spreadsheets timely and accurately
• Works with or support Revenue Cycle Team in planning all aspects of Business & Billing Office functions to include interfacing with all other disciplines and departments
• May assist the Revenue Cycle Team in monitoring day-to-day operation of the Business & Billing Office and to establish priorities, manage records, budgets, or supplies
• Fills in as Revenue Cycle Manager, as needed with limited or full authority, as given by the COO/CFO
• Supports and assists Revenue Cycle Team with State, Federal and Company standards, to include alerting management to potential non-compliance issues and the preparation of correction plans
• Assists with end of month close procedures such as, but not limited to charge input, cash receipts reconciliation
• Maintains accuracy and efficiency in all work performed
• Prepares disbursement checks for payment of expenditures approved by COO/CFO
• Assists with filing and storage processes/systems as needed
• Assists with company information tracking and reports as needed
• Other special projects and duties, as assigned

• High school diploma required and equivalent related work experience
• Minimum of one (1) year billing and/or coding experience preferred
• Effective verbal and written English communication skills
• Demonstrate intermediate to advanced skills in Microsoft Word, Excel, Power Point and Outlook, Internet and Intranet navigation
• Highest level of professionalism with the ability to maintain confidentiality
• Ability to communicate at all levels of organization and work well within a team environment in support of company objectives
• Customer service oriented with the ability to work well under pressure
• Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity
• Strong analytical and problem-solving skills
• Ability to work with minimal supervision, take initiative and make independent decisions
• Ability to deal with new tasks without the benefit of written procedures
• Approachable, flexible, and adaptable to change

At BrightSpring Health Services, our LEGACY culture guides how we lead, how we serve, and how we show up for one another. We are committed to doing the right thing by leading with integrity, accountability, and transparency in all that we do.

As part of our hiring process, we may use third-party artificial intelligence (AI) tools to assist in processing employment-related information. These tools are used to support our recruitment activities and are subject to human oversight and review. BrightSpring does not use AI to make employment decisions independently, and AI is not used to discriminate against applicants or employees. We do not use zip codes as a proxy for protected characteristics. All hiring decisions are made by people, including our recruiters and hiring leaders.

BrightSpring Health Services provides reasonable accommodations to qualified applicants and employees with disabilities. If you need a reasonable accommodation during the application or hiring process, please contact your recruiter or email TalentAcquisition@brightspringhealth.com. For additional information about how our company uses AI in the hiring process, please contact TalentAcquisition@brightspringhealth.com.

BrightSpring Health Services and its affiliated companies provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

If you have a disability and are unable to use our online tools to search or apply for jobs, we would like to assist.  Please contact us for accommodation assistance.

Equal Opportunity Employment Posters

ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information.