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Concord Counseling Services

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Insurance & Billing Specialist

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Description

Concord Counseling Services is seeking an experienced Insurance & Billing Specialist to support our billing and revenue cycle operations to work in our Westerville office. This position is responsible for processing insurance claims, posting payments, maintaining accurate insurance information, assisting with credentialing activities, and supporting client billing inquiries. The ideal candidate will have healthcare billing experience, strong attention to detail, and knowledge of third-party payer requirements, preferably within a behavioral health or community mental health setting.

The Insurance & Billing Specialist works closely with insurance carriers, clients, and internal staff to help ensure accurate billing processes and timely reimbursement of services.


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• Prepare, submit, and follow up on insurance claims to commercial, government, and other third-party payers.

• Review claims and assist with the correction and resubmission of denied or rejected claims.

• Post payments, adjustments, and contractual write-offs accurately and timely.

• Reconcile client accounts and assist with resolution of billing discrepancies.

• Establish and maintain payer information within the electronic medical record (EMR) system.

• Ensure accurate setup and maintenance of client insurance information.

• Generate client billing statements and respond to client billing inquiries.

• Assist clients with questions regarding insurance coverage, account balances, and payment arrangements.

• Coordinate credentialing activities for clinical staff and assist with payer enrollment and revalidation processes.

• Maintain accurate billing, credentialing, and reimbursement records.

• Maintain compliance with HIPAA, organizational policies, and applicable federal, state, and local regulations.



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