Billing Specialist

We are looking for a detail-oriented Billing Specialist to support medical billing operations in the South Hills area of Pittsburgh. This role focuses on maintaining accurate billing records, managing receivables, and helping ensure timely payment processing for health services. The ideal candidate brings strong experience in medical billing, communicates professionally and works effectively within established deadlines and compliance standards.

Responsibilities:

• Manage outstanding resident accounts by conducting timely follow-up on unpaid balances through appropriate communication and collection methods.
• Process billing activity by reviewing charges, entering or uploading invoice details, and producing monthly statements for residents.
• Maintain current census information for all payer types by entering updates accurately into the healthcare management system.
• Prepare and distribute resident account statements, ensuring billing information is complete, clear, and submitted on schedule.
• Collaborate with community and operational teams during accounts receivable reviews to report private-pay delinquencies and support resolution planning.
• Organize and submit eligible overdue accounts to external collections in alignment with established policies and documentation requirements.
• Confirm insurance eligibility and complete pre-authorization checks for new admissions to support accurate reimbursement and coverage verification.
• Review move-in documentation for completeness and route required forms to the proper files and departments.
• Document collection efforts thoroughly, escalate unresolved payment issues when needed, and provide courteous support to patients, staff, and leadership while meeting compliance and attendance expectations.