Insurance and Billing Specialist

The Insurance & Billing Specialist position serves as a key role in improving the overall effectiveness of revenue cycle collections. The applicant will need to have an extensive background in the submission of claims to third party payers & an understanding of making corrections to maximize cash flow in a healthcare environment, preferably within community mental health. The applicant should also have a background working with electronic medical records (EMR) system software that is utilized to maximize correct third party claim submission. Applicant will become a go-to resource for troubleshooting system issues that end users may have.

The job responsibilities include but are not limited to:

•Responsible for proper and efficient setup of payer definitions within the EMR

•Responsible for proper setup of client insurance upon intake

•Credentialing of new staff with payers

•Responsible for review & process of claims in various stages of revenue cycle in a timely manner.

•Act as a liaison for clients with questions or issues

•Responsible for itemized patient statements

•Monitor work flow and recommend process/procedural improvements as needed.

•Maintain compliance with federal, state and local regulations, HIPAA and the Corporate Responsibility Program