Senior Billing Specialist

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    "location": {
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    "datePosted": "2026-02-26",
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    "description": "<p><span style=\"font-family: Arial, sans-serif; font-size: 24pt; font-weight: bold\">Senior Billing Specialist</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Department:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> Operations</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"><br></span><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Employment Type:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> Full Time, 40 hours/week</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"><br></span><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Location:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> Hybrid - Lewes and Milton, DE (2 days/week on-site, 3 days remote)</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"><br></span><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Minimum Experience:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> 5+ years medical billing experience</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"><br></span><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Compensation:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> $58,000 to $62,000 annually</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 18pt; font-weight: bold\">About Trauma Specialists</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Trauma Specialists is a values-based community of helping professionals working to provide effective, evidence-based trauma treatment to enhance the mental well-being of children, adults, families, and couples in our communities across Maryland, Delaware, and Pennsylvania. We are a highly skilled, dynamic, and collaborative team committed to treating the impact of trauma through specialized care grounded in clinical rigor and cultural humility.</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Our mission extends beyond clinical excellence—we're building a practice where healing begins with restoring one's relationship with Self and expands to healthier relationships with Others and with Nature. Behind every therapy session is a dedicated operations team ensuring our clinicians can focus on what matters most: transforming lives.</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 18pt; font-weight: bold\">The Role</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">The Senior Billing Specialist is the operational backbone of our revenue cycle—responsible for converting completed therapy sessions into timely cash collection while maintaining the financial health that enables us to serve our communities. This role combines hands-on billing execution with analytical problem-solving, process systematization, and quality control.</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">You'll own billing operations end-to-end with autonomy to identify problems, build solutions, and drive measurable cash flow outcomes. We are seeking someone who gets satisfaction from fixing broken processes, catching money left on the table, and seeing direct results from your work.</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">You'll work hybrid from our Lewes and Milton, DE location (typically 2 days/week on-site, 3 days remote), giving you concentrated time for collaboration on-site and deep-focus billing work from home.</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 18pt; font-weight: bold\">What You'll Do</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 12pt; font-weight: bold\">Daily Billing Operations</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Claims &amp; Collections Management</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Submit clean claims within 48 hours of service delivery, maintaining ≥95% clean claim rate</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Post insurance payments daily and reconcile against contracted rates to catch underpayments</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Work AR aging aggressively—prioritize claims &gt;30 days with systematic payer follow-up</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Research and resolve denials within 5 business days, identifying root causes to prevent recurrence</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Achieve 90%+ collection rate through proactive insurance follow-up and client billing</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Handle client billing inquiries with empathy, explaining insurance processing and payment responsibilities clearly</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Payer Relations &amp; Problem-Solving</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Call insurance companies, navigate payer portals, and resolve claim holds or pending statuses</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Appeal underpayments and incorrect denials—advocate for proper reimbursement</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Build working relationships with payer representatives to resolve issues efficiently</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Troubleshoot complex billing scenarios independently</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 12pt; font-weight: bold\">Analytical &amp; Process Management (Systems Building)</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Payment Accuracy &amp; Rate Protection</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Maintain fee schedule reference documents by payer and CPT code</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Compare ERAs to contracted rates monthly—catch and recover underpayments</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Track payer payment accuracy trends and flag chronic underpayers for escalation</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Process Documentation &amp; Standardization</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Create and maintain billing SOPs: claim submission workflows, denial resolution protocols, payment posting procedures</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Build checklists for recurring tasks to ensure consistency</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Document payer-specific rules (modifiers, telehealth policies, authorization requirements)</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Quality Control &amp; Compliance</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Conduct monthly internal audits: review 15-20 claims for coding accuracy, modifier usage, authorization compliance</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Review clinician documentation for billing red flags and provide constructive feedback</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Track audit pass rate (target: ≥95% error-free)</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Reporting &amp; Performance Tracking</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Weekly reporting: claims submitted, cash collected, denials/rejections</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Monthly reporting: total outstanding balance, insurance AR aging, client AR aging, unallocated payments</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Monthly analysis: identify trends, bottlenecks, and root causes of cash flow problems</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Propose specific solutions with clear business impact</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Flag emerging risks to leadership proactively</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 12pt; font-weight: bold\">Credentialing Management</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Provider Enrollment &amp; Maintenance</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Submit credentialing applications for new clinicians within 5 days of hire</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Maintain CAQH profiles for all credentialed clinicians (re-attest every 90 days)</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Track application status with weekly follow-ups—get clinicians billing-ready within 90 days</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Record effective billing dates and communicate status to leadership</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Pull annual fee schedules and support rate re-negotiation efforts</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 12pt; font-weight: bold\">Team Coordination</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Clinician Collaboration</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Work directly with therapists to resolve documentation issues blocking claims</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Provide feedback on note timeliness and completeness</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Communicate payer-specific requirements (authorization needs, session limits)</span><br></li>\n</ul>\n<p><br><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Leadership Communication</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Weekly metric updates via dashboard</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Recommend solutions with clear rationale</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Escalate complex payer issues or compliance concerns</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 12pt; font-weight: bold\">Location Operations Support</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">As a small practice, we value team members who can contribute beyond a single function. This role includes light administrative support for our Delaware locations (~2-5 hours/week), helping ensure our sites run smoothly so clinicians can focus on client care.</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Facility &amp; Operations</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Maintain office supplies and inventory (ordering, restocking, organizing)</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Serve as point of contact for building maintenance issues (coordinate with vendors, facilities)</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Troubleshoot basic facility issues (Wi-Fi, printers, climate control)</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">T</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">eam Support</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Welcome and orient new staff to Delaware office locations</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Help coordinate team events and gatherings</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Support onboarding logistics (office access, supplies, facility walkthrough)</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">This work happens on-site during your 2 days/week in Lewes and takes roughly an hour per on-site day. It's the reality of working in a smaller practice environment where everyone pitches in to support the team.</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 18pt; font-weight: bold\">What You Bring</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 12pt; font-weight: bold\">Required Qualifications</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">5+ years hands-on medical billing experience</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">, preferably in mental health, behavioral health, or outpatient therapy settings</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Strong insurance billing expertise:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> Deep working knowledge of claim submission, ERA/EOB interpretation, denial resolution, appeals, authorization requirements, and payer relations</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Payment reconciliation experience:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> Track record of comparing payments to contracted rates and catching underpayments</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Data analysis skills:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> Proficient with Excel/Google Sheets (formulas, pivot tables, data manipulation) and able to export, organize, and analyze billing data to identify trends and reconcile payments</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Practice management systems proficiency:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> Comfortable learning new software quickly (SimplePractice experience a plus)</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Analytical problem-solving:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> Can look at reports, spot patterns, diagnose root causes, and propose practical solutions</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Process orientation:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> Has created SOPs, workflows, checklists, or training materials that others successfully used</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Attention to detail:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> Catches coding errors, payment discrepancies, and process breakdowns that others miss</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Communication skills:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> Can explain complex billing issues clearly to clinicians, clients, and leadership</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Self-directed work style:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> Comfortable managing own workload with accountability for measurable outcomes</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Conflict comfort:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> Willing to have direct conversations when documentation isn't supporting claims, when payers are underpaying, or when processes aren't working</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 12pt; font-weight: bold\">Preferred Qualifications</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Experience with multi-state billing (MD, DE, PA)</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Certified Professional Biller (CPB), Certified Professional Coder (CPC), or similar credential</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Background in smaller practices where you've had to figure things out independently and wear multiple hats</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Track record of improving collection rates, reducing AR aging, or implementing process improvements in a previous role</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Knowledge of trauma therapy billing specifics (EMDR, intensive therapy models, group therapy)</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 18pt; font-weight: bold\">What We Offer</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Compensation &amp; Benefits</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Salary: $58,000–$62,000 annually (based on experience and demonstrated qualifications)</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Full benefits package: Medical, dental, vision, short-term/long-term disability, and life insurance</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">401(k) with employer match</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Bi-monthly wellness stipend</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Discounted pet insurance</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Paid time off: Vacation, sick leave, and holidays</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Work Structure &amp; Flexibility</span></p>\n<ul>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Hybrid schedule: 2 days/week on-site in Lewes and Milton, DE; 3 days remote</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Remote-friendly: Deep-focus billing work from home</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Professional growth: Autonomy to build systems, implement improvements, and directly impact practice sustainability</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Our Culture &amp; Values</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">This role requires </span><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Courage in Action</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">—the willingness to have direct conversations when documentation isn't supporting claims, when payers are underpaying, or when processes aren't working. We need someone who is </span><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Relational &amp; Collaborative</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> while maintaining </span><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Excellence in Execution</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> through consistent follow-through and accountability for results.</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">People First</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> means treating clients with respect when they're confused about billing, and treating clinicians as partners in ensuring their documentation supports their work getting paid. We believe people do their best work when they feel supported—and when they know their contributions directly impact our ability to serve clients experiencing trauma. </span><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Wholeness</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> means we create space for you to bring your full self to work and maintain sustainable work-life integration –– both professional fulfillment and personal wellbeing working together.</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">We're a </span><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">values-based community</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> where your work directly enables life-changing trauma treatment in Maryland, Delaware, and Pennsylvania. You'll be part of a dynamic, collaborative team committed to clinical excellence and operational integrity.</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 18pt; font-weight: bold\">Ready to Apply?</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">If you're a billing professional who takes pride in clean claims, accurate payments, and efficient operations—and wants your expertise to directly enable trauma healing in your community—we'd love to hear from you.</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">To Apply:</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> Please submit your resume and a brief cover letter addressing:</span></p>\n<ol>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Your experience with payment reconciliation and catching payer underpayments</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">An example of a process improvement or system you implemented in a previous billing role</span></li>\n<li><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Your approach to working independently while maintaining accountability for outcomes</span></li>\n</ol>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">We're looking for someone who can start making an impact within 30 days. This role is critical to practice sustainability and we're prepared to move quickly for the right candidate.</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-style: italic\">Trauma Specialists is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment where people of all identities feel respected, heard, and safe to be themselves.</span></p>",
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