Brennan Behavior Group
Job Description
Billing Data Entry Specialist
Position Summary
The Billing Data Entry Specialist is responsible for ensuring the accuracy and integrity of billing information while supporting the organization's revenue cycle operations. This position plays a critical role in creating and maintaining insurance claims, processing payments, managing billing records, and assisting with insurance authorizations. The ideal candidate is highly organized, detail-oriented, and able to manage multiple priorities in a fast-paced healthcare environment while maintaining confidentiality and exceptional customer service.
Essential Duties and Responsibilities
Billing & Data Entry
- Enter, review, and verify provider billing information for accuracy and completeness.
- Create, submit, and monitor insurance claims in accordance with payer guidelines.
- Maintain accurate billing records within the organization's billing software and databases.
- Audit billing information to identify and correct errors prior to claim submission.
- Ensure timely processing of claims to minimize billing delays and denials.
Payment Processing
- Process client and insurance payments accurately.
- Establish and maintain payment plans as directed by company policy.
- Reconcile payment records and update account balances.
- Assist in resolving payment discrepancies and outstanding balances.
Insurance & Authorizations
- Contact insurance companies regarding prior authorizations, claim status, eligibility, and coverage questions.
- Follow up on pending authorizations to ensure timely approval.
- Communicate with insurance representatives regarding denied or rejected claims.
- Maintain documentation of all insurance communications.
Client Communication
- Communicate professionally with clients regarding billing questions, payment options, and account concerns.
- Explain billing statements and assist in resolving discrepancies.
- Provide excellent customer service while maintaining confidentiality and professionalism.
Reporting & Documentation
- Maintain Google Sheets, Google Drive, and other electronic documentation systems with accurate and current information.
- Generate routine billing reports for management.
- Track billing trends, payment activity, and outstanding balances.
- Ensure all documentation complies with company policies and applicable regulations.
Administrative Support
- Assist with special billing projects and audits.
- Maintain organized electronic records and files.
- Collaborate with the billing, scheduling, and clinical teams to resolve documentation or billing concerns.
- Perform other duties as assigned.
Qualifications
Required
- High school diploma or equivalent.
- Minimum of 1 year of experience in medical billing, healthcare administration, data entry, or a related field.
- Strong computer skills, including Microsoft Office and Google Workspace (Google Sheets, Docs, and Drive).
- Excellent attention to detail and accuracy.
- Strong organizational and time management skills.
- Ability to maintain confidentiality of protected health information (HIPAA).
- Excellent written and verbal communication skills.
- Ability to prioritize multiple tasks in a fast-paced environment.
Preferred
- Experience with ABA therapy billing or behavioral healthcare.
- Experience working with Medicaid and commercial insurance.
- Familiarity with electronic health records (EHR) and medical billing software.
- Knowledge of insurance authorization processes.
- Experience creating and tracking payment plans.
Knowledge, Skills, and Abilities
- Strong analytical and problem-solving skills.
- Exceptional attention to detail.
- Ability to identify billing discrepancies and resolve issues efficiently.
- Excellent customer service skills.
- Ability to work independently while collaborating effectively with a team.
- Strong data entry accuracy and speed.
- Ability to adapt to changing priorities and deadlines.
Work Environment
This position is performed in a professional office environment and requires frequent use of computers, billing software, electronic health records, and communication with clients, insurance companies, and internal staff.
Success in This Role
A successful Billing Data Entry Specialist consistently maintains accurate billing records, submits claims promptly, communicates professionally with clients and insurance representatives, resolves billing discrepancies efficiently, and contributes to a smooth and effective revenue cycle that supports quality patient care.
