What are the responsibilities and job description for the Medical Biller I position at Colorado Recovery Solutions?
Colorado Recovery Solutions (CRS) is seeking a skilled and detail-oriented Medical Biller with comprehensive knowledge of the claims lifecycle. The ideal candidate is experienced in claim submission, coding, payment posting, denial management, insurance communications, and accounts receivable (AR) reporting. This role plays a critical part in maintaining the financial integrity of a high-reliability, multi-specialty behavioral health practice.
Description
Primary Department Served: Billing
Reports to: Billing Manager
Classification Level:
- Hourly
- Full-Time
Compensation:
- $20-$22.50/hour depending on experience
Location:
- On-Site | 8580 Scarborough Dr. Ste 125, Colorado Springs, CO 80920 (location subject to change based on the needs of the company)
Our Company:
Colorado Recovery Solutions, located in beautiful, mountainous Colorado, was founded in early 2021 in Colorado Springs as an outpatient neuropsychiatric recovery center by Dr. Ashley Johnson, DO- a long-time Air Force Veteran and interventional psychiatrist. CRS was designed from its inception to provide the most effective, cutting-edge neuropsychiatric treatments with a focus on improving brain health and quality of life for those suffering from common mental health, substance use disorders, and chronic pain.
Our centers provide advanced medical therapies, including, but not limited to, Transcranial Magnetic Stimulation (TMS), Ketamine infusion, Spravato (esketamine) nasal spray, Ketamine Assisted Psychotherapy, and neuropsychiatric medication management. CRS strives to provide high-quality, collaborative care to military veterans, civilian first responders, their family members, and the Greater Colorado Springs and Monument, Colorado communities.
Job Summary:
Colorado Recovery Solutions (CRS) is seeking a skilled and detail-oriented Medical Biller with comprehensive knowledge of the claims lifecycle. The ideal candidate is experienced in claim submission, coding, payment posting, denial management, insurance communications, and accounts receivable (AR) reporting. This role plays a critical part in maintaining the financial integrity of a high-reliability, multi-specialty behavioral health practice.
Scope of Duties: Essential Functions
- Review coded data and submit accurate claims to insurance carriers
- Verify all claim details prior to submission, including charges, ICD coding, and patient demographics
- Conduct insurance benefit verification, prior authorization, and reauthorization processes per payor requirements
- Navigate CMS billing guidelines and maintain up-to-date knowledge of insurance policies
- Post payments, reconcile accounts, and manage payment collections
- Work denials and rejections to recover claim payments
- Create patient invoices and cost estimates; assist with financial counseling and payment plans
- Respond promptly to billing-related inquiries from patients, internal staff, providers, and insurance companies
- Collaborate with internal departments to ensure timely authorization and utilization management
- Generate and interpret AR reports
- Maintain accurate documentation across the full revenue cycle
- Handle Electronic Remittance Advices (ERAs) and insurance correspondence with proficiency
- Protect patient confidentiality and ensure HIPAA compliance at all times
- Uphold and promote the CRS mission: "Providing hope and healing for treatment-resistant and complex neuropsychiatric conditions."
- Perform additional duties as assigned
Skill Requirements:
- Professional demeanor and compassionate communication in a mental health environment
- Excellent organizational skills and attention to detail
- Ability to manage competing priorities in a fast-paced, team-oriented setting
- Strong written and verbal communication skills
- High degree of integrity and discretion in handling confidential information
- In-depth knowledge of medical billing, insurance claims processing, and billing software
- Understanding of medical office procedures and behavioral health terminology
- Familiarity with CMS guidelines and insurance benefit structures
- Willingness to learn and adapt
- Proficiency in using spreadsheets for data tracking, reconciliation, and reporting
Qualifications :
Required
- High school diploma, GED, or equivalent
- Experience: At least 1 year in a Medical Billing position
- Experience billing through an EHR
- Comprehensive understanding of insurance benefits, claims processing, and CMS frameworks
- Must be able to work full-time in the office.
Preferred
- Certified Professional Biller (CPB) or equivalent certification
- 1 years of experience in behavioral health medical billing
- Experience working with patients who are suffering from common mental health disorders, including related ICD-10 diagnosis codes
- Military Veteran status, military spouse, or previous work in military/government helping agencies or underserved populations
- Experience with Google Workspace
Physical Requirements:
- Full range of body motions, including manual and finger dexterity and hand-eye coordination
- Some sitting, bending, stooping, and stretching
- Standing and walking
- Occasional lifting of up to 20 pounds.
- Must have adequate hearing and speaking ability to communicate with co-workers and others in person, by phone, and via online correspondence.
Benefits:
(Full-Time)
- 401(k) Matching
- Health insurance
- Dental Insurance
- Vision Insurance
- Paid time off
- Paid Holidays
Colorado Recovery Solutions is an Equal Opportunity Employer and does not discriminate based on race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. All employment is decided based on qualifications, merit, and business needs. Applicants may redact age-related information from additional application materials, including, but not limited to, resumes, CVs, transcripts, and certifications. (DEPARTMENT OF LABOR AND EMPLOYMENT Division of Labor Standards and Statistics POSTING, SCREENING, AND TRANSPARENCY RULES (“POST Rules”) 7 CCR 1103-18)
Salary
$20 - $22.5 per hour
Salary : $20 - $23
