Billing Specialist

Billing Specialist

Union Category: I

Hours: Full Time

Location: Duluth, MN

Wage: $18.11 - $23.49 (Dependent Upon Experience)

Benefit Eligibility: Yes

Summary:

The Billing Specialist at Brightwater Health will navigate insurance and client billing. They help with preparing, reviewing, approving, and mailing invoices to various insurance companies.

Duties:

• Process and balance insurance and client payments in the patient billing system.

• Review, release and submit electronic claims.

• Review and mail client statements.

• Verify insurance eligibility and following up on overdue or denied insurance claims.

• Following up on missing prior authorizations

• Responding to client phone calls with account questions

• Prepare, review, approve, and mail invoices to various insurance companies.

• Utilize the following computer programs: Microsoft Word, Excel, Internet Explorer, Carelogic, and insurance websites as needed.

• Monitor and fix failed claims with Billing Supervisor support.

• Run weekly and monthly reports relating to services provided in our community support programs to make sure we are providing and collecting reimbursements under the correct program and funding source.

• Review and complete billing adjustments related to grants and write offs.

• Monitor and fix the self-pay report.

• Manage grant reporting related to client data spreadsheets.

• Review and track EAP billing.

• Respond to phone calls about account questions, verify insurance eligibility, prepare/mail miscellaneous invoices.

• Insurance verification.

• Verifying and obtaining prior authorizations when needed.

• Attend meetings and other training seminars essential to billing, outpatient mental health and Brightwater health.

• Agency Target Case Management Billing.

• Entering and monitoring client accounts with our collection agency.

Minimum Qualifications:

• Moderate knowledge of health insurance plans.

• 1-3 years' experience working with health insurance and an understanding of common health insurance terminology.

• High school diploma or general education degree (GED) and six months of related experience.

• Typing 35 WPM, 10-key, good communication skills.

Desired Qualifications:

• One to 3 years' experience, knowledge or related training of health insurance, experience working with the public, ability to work in a fast-paced work environment, ability to prioritize workload, knowledge of insurance and claims/billing, good communication skills.

• Ability to work independently and as a team member.
  

Brightwater Health Advantage:

• Flexible Scheduling

• Personal Training/License renewal budget.

• Ability to work collaboratively with a team and community partners.

• Unparalleled opportunity for growth and advancement in largest, most comprehensive behavioral health clinic north of the Twin Cities

• Emphasis on life/work balance. Start working smarter, not longer. Have the opportunity to work 36 hours every week while still getting paid for 40 hours worked.

• Full Benefit Package including; Vacation Time, Sick Time, Personal Time, 11 paid Holidays per calendar year, Medical Insurance, Dental Insurance, Vision Insurance, Life Insurance, AD&D Insurance, Long Term Disability, Employee Assistance Program, and an Employer Matched 401K.

Obtaining Applications: Apply online at https://brightwaterhealth.org/

Equal Opportunity / Affirmative Action Employer

Minorities Encouraged to Apply