A/R Billing Specialist

Position Summary

The Claims Management Specialist is responsible for managing the billing and claims lifecycle to ensure accurate claim submission, timely reimbursement, regulatory compliance, and effective collaboration with internal and external stakeholders. This role supports the organization’s revenue cycle performance through proactive claims management, customer service, and adherence to Necco’s corporate culture and operational standards.

Responsibilities

• Utilize the Electronic Health Record (EHR) system to generate claims for per diem and fee-for-service billing and submit invoices to payors
• Review and take action on submitted claims within 30–45 days to ensure timely resolution
• Monitor, investigate, and resolve held, rejected, or denied claims using EHR and clearinghouse tools
• Absorb and reconcile open accounts receivable balances
• Maintain accurate documentation related to billing activities and claim outcomes
• Foster strong internal and external relationships to support timely resolution of billing discrepancies
• Communicate effectively with payors, service line teams, and leadership regarding claim status and issues
• Identify and recommend opportunities for process and policy improvement based on trends observed during collections and claim follow-up
• Collaborate with the Revenue Cycle Management Team to ensure systems, workflows, and processes operate efficiently

Requirements

• Degree or certificate in medical billing/coding (or nearing completion) preferred
• 3+ years of experience
• Proficient with Microsoft Office Suite
• Preference for experience with claims submission to Medicaid/MCOs or governmental entities
• Experience with EHR and Clearinghouse Software
• Experience managing complex, voluminous datasets and electronic records
• Valid driver’s license and 100/300/100 required auto insurance coverage
• Strong communication skills to build and maintain relationships with internal and external customers as well as provide valuable feedback to management
• Must be self-directed, resourceful, vigilant and persuasive

Qualifications

• Successful completion of all required criminal background checks
• Travel/training willingness

Skills

• Ridiculously passionate about the company’s success, growth, and program quality
• Proactive claims management
• Customer service
• Collaboration
• Problem-solving
• Financial stewardship
• Process and policy improvement
• Compliance with regulatory agencies
• Confidentiality of financial and client information
• Humility
• Hunger
• Smartness

Benefits

• At Necco, we value diversity and are committed to creating an inclusive and equitable work environment.
• We embrace individuals of diverse backgrounds, experiences, and perspectives.
• We believe that a diverse team fosters innovation and creativity, and we actively seek candidates from all races, ethnicities, religions, genders, sexual orientations, abilities, and ages to join our organization.
• We are dedicated to providing equal opportunities for employment and advancement to all qualified individuals, and we encourage applicants of all backgrounds to apply.