Billing Specialist

Billing SpecialistBradford Health Services provides addiction treatment programs, resources, and community for every aspect of recovery. Through our premier drug and alcohol rehab facilities across the Southeast, we provide affordable, evidence-based addiction treatment with proven outcomes at every level of care. We're guided by unity and dedicated to meeting and treating every patient right where they are.

Bradford is more than a healthcare network; we are recovery communities for every stage of the journey.We are seeking a Billing Specialist to add to our dynamic team. The Billing Specialist is responsible for ensuring accurate and timely submission of claims to third-party payers. This position plays a critical role in the revenue cycle by reviewing patient accounts, resolving charge errors and billing warnings, validating claim information, and ensuring claims meet payer and regulatory requirements prior to submission.

The ideal candidate will possess strong healthcare billing experience, exceptional attention to detail, and the ability to independently research and resolve billing issues. The Billing Specialist will work collaboratively with clinical, operational, utilization review, and revenue cycle teams to identify and correct issues that may delay or prevent successful claim submission.ResponsibilitiesReview patient accounts and billing work queues to ensure claims are generated and submitted accurately and in a timely mannerResearch and resolve charge errors, billing edits, claim warnings, and other system-generated exceptions preventing claims from being releasedValidate charges for accuracy, completeness, and appropriate dates of service prior to claim submissionReview claims for appropriate revenue codes, HCPCS/CPT codes, modifiers, bill types, and other required billing elements, as applicableEnsure claims are submitted in accordance with payer-specific, contractual, and regulatory billing requirementsIdentify missing, incomplete, or inconsistent information that may result in claim rejection or denial and coordinate resolution prior to billingResearch patient accounts, authorization information, eligibility, payer requirements, and supporting documentation when necessary to resolve billing issuesMonitor unbilled accounts and billing work queues to identify and address barriers to timely claim submissionMaintain established billing productivity and quality standards while prioritizing accuracy and clean-claim submissionReview rejected claims and clearinghouse edits and make appropriate corrections for timely resubmissionIdentify recurring billing or charge capture issues and escalate trends to leadership for process improvementCollaborate with Utilization Review, Patient Financial Services, clinical teams, facility operations, and other Revenue Cycle departments to resolve account discrepanciesMaintain thorough and accurate account documentation regarding billing actions and issue resolutionProtect patient confidentiality and maintain compliance with HIPAA and organizational policiesRemain current on payer billing requirements and changes that may impact claim submissionAssist with special billing projects, account reviews, audits, and other revenue cycle initiatives as assignedExceptional attention to detail and commitment to billing accuracyStrong understanding of the healthcare revenue cycle and the relationship between charge capture, authorization, billing, and reimbursementAbility to independently research complex account issues and determine appropriate resolutionAbility to recognize potential billing errors before claims are submittedStrong organizational and time-management skillsAbility to work effectively in a high-volume, deadline-driven environmentAbility to identify trends and distinguish isolated account issues from broader process or system problemsStrong sense of accountability and ownership for assigned accounts and work queuesAbility to collaborate effectively across departments and communicate billing issues clearly and professionallyQualificationsHigh school diploma or equivalentMinimum of 2-3 years of healthcare billing experienceStrong working knowledge of healthcare claim submission and billing processesDemonstrated experience researching and resolving service warnings, charge errors, claim edits, clearinghouse rejections, payer rejections and account discrepanciesStrong attention to detail with the ability to identify inconsistencies and potential billing issuesAbility to interpret payer billing requirements and apply them accurately to patient accountsStrong analytical, research, and problem-solving skillsAbility to manage multiple priorities and meet established billing deadlinesStrong written and verbal communication skillsProficiency with electronic health records, patient accounting/billing systems, clearinghouses, and Microsoft Office applicationsPreferred QualificationsAssociate degree in healthcare administration, business, finance, or related fieldExperience billing behavioral health, substance use disorder, or other facility-based healthcare servicesExperience with both institutional and professional claim billingKnowledge of UB-04 and CMS-1500 claim requirementsExperience with commercial insurance, Medicare, Medicaid, TRICARE, and/or VA billingFamiliarity with revenue codes, HCPCS/CPT coding, bill types, modifiers, and payer-specific billing requirementsExperience working within a centralized Revenue Cycle environmentAt Bradford Health Services, we are committed to providing exceptional care to our patients while fostering a supportive and rewarding workplace for our employees. We believe that taking care of our team is just as important as taking care of our patients.

We offer a comprehensive benefits package designed to support their well-being.Medical Coverage – Three new BCBSAL medical plans with better rates, improved co-pays, and enhanced prescription benefits.Expanded Coverage – Options for domestic partners and a wider network of in-network providers.Mental Health Support – Improved access to services and a new Employee Assistance Program (EAP) featuring digital wellness tools like Cognitive Behavioral Therapy (CBT) modules and wellness coaching.Voluntary Coverages – Pet insurance, home and auto insurance, family legal services, and more.Student Loan Repayment – Available for nurses and therapists.Retirement Benefits – 401(k) plan through Voya to help employees plan for the future.Generous PTO – A robust paid time off policy to support work-life balance.Voluntary Benefits for Part-Time Employees – Dental, vision, life, accident insurance, and telehealth options for those working 20 hours or more per week.