What are the responsibilities and job description for the Billing & Claims Specialist position at Gelacy’s Building Bridges Mental & Behavioral Health?
Overview:
Building Bridges Mental & Behavioral Health Services is seeking a detail-oriented Billing & Claims Specialist to support Medicaid and behavioral health billing, claims submission, payment reconciliation, denial follow-up, and revenue-cycle operations.
Job description:
About the Position
The Billing & Claims Specialist is responsible for helping ensure that behavioral health services are billed accurately, timely, and in accordance with payer requirements.
Responsibilities
- Review documentation for information necessary to submit claims Submit clean and accurate claims to appropriate payers Monitor claim status and payment activity Identify and resolve rejected or denied claims Correct and resubmit claims when necessary Reconcile payments and remittance information Maintain billing and accounts-receivable tracking Identify recurring billing or documentation issues Communicate billing concerns to administrative and clinical leadership Assist with payer enrollment and credentialing processes when necessary Maintain accurate and confidential billing records Assist with audits and payer documentation requests Produce billing and revenue reports for leadership Follow HIPAA and agency confidentiality requirements
Qualifications
- Previous medical or behavioral health billing experience strongly preferred Medicaid billing experience preferred Knowledge of claims submission, denials, remittance, and revenue-cycle processes Behavioral health billing experience preferred Excellent attention to detail Strong organizational and problem-solving skills Ability to work independently and meet deadlines Experience using electronic health records and billing systems preferred
Schedule
Approximately 15 hours per week initially, with the potential for hours to increase as the organization grows.
Compensation
$23.00 per hour.
Building Bridges does not currently offer employer-sponsored benefits.
Pay: $23.00 per hour
Application Question(s):
- Briefly describe your previous billing or claims experience, including the types of payers you have worked with.
- What experience do you have resolving rejected or denied claims?
- Which billing systems, EHRs, clearinghouses, payer portals or practice-management systems have you used?
- Describe your experience, if any, with Medicaid billing, remittance/EOB/ERA review and accounts receivable.
Education:
- High school or equivalent (Required)
Experience:
- Billing/claims processing: 1 year (Required)
- Medicaid billing: 1 year (Preferred)
- Behavioral-health billing: 1 year (Preferred)
- Claim denials/rejections/A/R: 1 year (Preferred)
- Medical billing: 1 year (Preferred)
Work Location: Hybrid remote in Columbus, OH 43227
Salary : $23