BAS Controls System Specialist

The billing specialist ensures accurate and timely billing for services provided. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations. The ideal candidate is detail-oriented, tech-savvy, and experienced in medical billing systems and procedures., Daily Billing Operations

Reconcile billing records for accuracy, including authorizations, eligibility, diagnoses, and modifiers. Analyze daily billing reports and flag discrepancies.

Auditing & Compliance

Conduct monthly audits of billable claims to ensure compliance. Submit claims and follow up on outstanding or denied submissions.

Collaboration & Communication

Work with the Billing Supervisor to resolve audit findings and claim issues. Coordinate with agencies to address reimbursement and documentation concerns. Partner with the Clinical Department to verify service documentation.

Documentation & Tracking

Maintain admissions tracking for new clients, discharges, and status updates. Monitor authorization requests/extensions and ensure timely submission. Review group counseling and education session logs for billing accuracy.

System Proficiency

Use electronic health record systems (e.g., PCNK, MyEvolv) for billing activities. Stay current on Title 22, Title 9, and DMC Provider Manual guidelines.

Medical billing and coding (ICD-10, CPT, HCPCS) Claims processing and revenue cycle understanding EHR/EMR system proficiency Microsoft Excel expertise Strong organizational and time management skills Clear written and verbal communication Basic math skills Team collaboration Familiarity with DMC procedure codes

Education & Experience Requirements

Required: High school diploma or GED Preferred: Medical Billing Certificate or equivalent experience Required: Minimum 3 years of hands-on medical billing experience Preferred: At least 1 year working with SAPC DMC-ODS billing system Experience in denied claims handling, auditing, and billing correction

Salary: $23 - $28 per hour

We are a long-standing nonprofit treatment provider with over five decades of service in the recovery community. For over 40 years, we’ve helped more than 50,000 individuals overcome health challenges through compassionate, evidence-based care. With 300+ residential beds and a dedicated team of 150+ staff, interns, and volunteers, we offer comprehensive services that promote long-term sobriety and personal growth.