Tal Healthcare
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USD
60000
70000
YEAR
true
Billing Specialist
20 Church Street
White Plains,
NY
10601
US
2026-01-13
2026-03-17
Department: Revenue
Job Number: 6951
Pay Rate: $60000-70000
Employment Type: Full Time
Job Description
Our client, a leading provider of behavioral health and substance use disorder services, is hiring a Billing Specialist to ensure accurate and efficient management of billing, eligibility verification, and claims processing. This key role supports clinical operations by verifying client benefits, coordinating pre-authorization requirements, and assisting with financial counseling to optimize patient care and revenue cycle workflows.
Responsibilities:
- Determine initial client eligibility and benefits, including pre-authorization or pre-certification requirements under benefit plans for substance use disorder services.
- Input authorization tracking data into Insync and notify clinical leadership of pre-auth or admission needs before client appointments.
- Prepare and distribute financial agreements, ensuring clients understand their financial responsibility; meet with eligible clients for financial counseling and sliding scale agreements.
- Review daily eligibility batch reports, contacting ineligible clients to update insurance information, facilitate recertification, or manage out-of-pocket payments.
- Confirm appointment eligibility prior to service, notify front desk staff and clients of any ineligibility, and ensure appropriate documentation.
- Verify provider billing codes, review service charges for accuracy, and correct any coding issues promptly.
- Monitor billing submissions, ensuring services are billed within 48 hours of delivery, and address denied or unpaid claims through coordination with billing software and clinical staff.
- Generate and analyze billing and accounts receivable reports, assist with collections, and maintain accurate financial records.
- Support clinical and administrative staff with billing or insurance-related inquiries and serve as a resource for billing best practices.
- Manage the assessment tracker to monitor appointment no-shows, cancellations, and rescheduling activities.
Requirements:
- Associate's degree or higher in health administration, medical billing, or related field.
- Minimum of 2 years’ experience in healthcare billing and eligibility verification.
- Proven experience in medical or behavioral health billing and coding, with familiarity in insurance verification and claims processing.
- Strong knowledge of billing software, particularly Insync, and proficiency with Medicaid, insurance benefits, and pre-authorization procedures.
- Excellent organizational skills with the ability to multitask and prioritize in a fast-paced environment.
- Effective communication skills to liaise with clients, clinical staff, and insurance providers.
- Attention to detail and accuracy in reviewing charges, coding, and documentation.
- Ability to work on-site, with availability to coordinate with clinical and administrative teams.
- Familiarity with confidentiality regulations and compliance standards related to healthcare information.
Nice to Have Skills:
- Experience working with Medicaid and other government-funded programs.
- Basic understanding of behavioral health services and clinical workflows.
- Certification in medical billing or coding (e.g., CPC, CPRS).
- Bilingual abilities to serve diverse patient populations.
If you are meticulous, customer-focused, and eager to contribute to a mission-driven organization, we encourage you to apply today. Join a dedicated team committed to improving lives through outstanding administrative and clinical collaboration.
Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.
#LI-FP1
Meet Your Recruiter
Fran Philips
Vice President, Healthcare Recruitment
Fran is a seasoned recruiter who joined Tal in 2008, after a long career in medical billing for multi-specialty practices including dermatology, dental, and ophthalmology.
Learn more about Fran, Tal Healthcare Employee Biography
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Billing Specialist
20 Church Street White Plains, NY 10601 US
Job Description
Our client, a leading provider of behavioral health and substance use disorder services, is hiring a Billing Specialist to ensure accurate and efficient management of billing, eligibility verification, and claims processing. This key role supports clinical operations by verifying client benefits, coordinating pre-authorization requirements, and assisting with financial counseling to optimize patient care and revenue cycle workflows.
Responsibilities:
- Determine initial client eligibility and benefits, including pre-authorization or pre-certification requirements under benefit plans for substance use disorder services.
- Input authorization tracking data into Insync and notify clinical leadership of pre-auth or admission needs before client appointments.
- Prepare and distribute financial agreements, ensuring clients understand their financial responsibility; meet with eligible clients for financial counseling and sliding scale agreements.
- Review daily eligibility batch reports, contacting ineligible clients to update insurance information, facilitate recertification, or manage out-of-pocket payments.
- Confirm appointment eligibility prior to service, notify front desk staff and clients of any ineligibility, and ensure appropriate documentation.
- Verify provider billing codes, review service charges for accuracy, and correct any coding issues promptly.
- Monitor billing submissions, ensuring services are billed within 48 hours of delivery, and address denied or unpaid claims through coordination with billing software and clinical staff.
- Generate and analyze billing and accounts receivable reports, assist with collections, and maintain accurate financial records.
- Support clinical and administrative staff with billing or insurance-related inquiries and serve as a resource for billing best practices.
- Manage the assessment tracker to monitor appointment no-shows, cancellations, and rescheduling activities.
Requirements:
- Associate's degree or higher in health administration, medical billing, or related field.
- Minimum of 2 years’ experience in healthcare billing and eligibility verification.
- Proven experience in medical or behavioral health billing and coding, with familiarity in insurance verification and claims processing.
- Strong knowledge of billing software, particularly Insync, and proficiency with Medicaid, insurance benefits, and pre-authorization procedures.
- Excellent organizational skills with the ability to multitask and prioritize in a fast-paced environment.
- Effective communication skills to liaise with clients, clinical staff, and insurance providers.
- Attention to detail and accuracy in reviewing charges, coding, and documentation.
- Ability to work on-site, with availability to coordinate with clinical and administrative teams.
- Familiarity with confidentiality regulations and compliance standards related to healthcare information.
Nice to Have Skills:
- Experience working with Medicaid and other government-funded programs.
- Basic understanding of behavioral health services and clinical workflows.
- Certification in medical billing or coding (e.g., CPC, CPRS).
- Bilingual abilities to serve diverse patient populations.
If you are meticulous, customer-focused, and eager to contribute to a mission-driven organization, we encourage you to apply today. Join a dedicated team committed to improving lives through outstanding administrative and clinical collaboration.
Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.
#LI-FP1
Meet Your Recruiter
Fran Philips
Vice President, Healthcare Recruitment
Fran is a seasoned recruiter who joined Tal in 2008, after a long career in medical billing for multi-specialty practices including dermatology, dental, and ophthalmology.
Learn more about Fran, Tal Healthcare Employee Biography