What are the responsibilities and job description for the Insurance Verification & Billing Specialist position at Pathfinders Counseling?
Pathfinders Counseling, LLC
Owensboro, KY
ON SITE/IN OFFICE POSITION ONLY
Part-Time (with opportunity to grow into Full-Time)
About Us
Pathfinders Counseling is a private outpatient mental health practice dedicated to providing compassionate, ethical, and high-quality care. We strive to create a welcoming environment for both our clients and our team while maintaining excellence in clinical and administrative operations.
Position Summary
We are seeking a highly organized and dependable Insurance Verification & Billing Specialist to oversee the financial side of our practice. This individual will play a vital role in ensuring accurate insurance verification, timely claim submission, payment posting, and resolution of billing issues while providing outstanding customer service to clients.
Experience with behavioral health billing and insurance is preferred, but we are willing to train the right individual who demonstrates exceptional attention to detail, professionalism, and a willingness to learn.
ResponsibilitiesInsurance Verification
- Verify insurance eligibility and benefits before appointments
- Confirm deductibles, copays, coinsurance, and authorization requirements
- Document benefit information accurately in the electronic health record
- Notify clients of estimated financial responsibility
Medical Billing
- Submit electronic insurance claims
- Monitor claim status
- Correct and resubmit denied or rejected claims
- Appeal denied claims when appropriate
- Follow up with insurance companies regarding unpaid claims
- Maintain timely accounts receivable
Payment Processing
- Post insurance payments
- Post client payments
- Reconcile daily payment activity
- Process refunds when necessary
- Monitor outstanding balances
Client Financial Support
- Explain insurance benefits and billing questions
- Collect copays and balances
- Establish payment plans when approved
- Maintain professionalism and confidentiality
Administrative Duties
- Maintain accurate client billing records
- Scan and upload insurance documents
- Assist with credentialing documentation as needed
- Communicate with providers regarding billing concerns
- Maintain HIPAA compliance
Qualifications
Preferred:
- Experience in behavioral health billing
- Experience with SimplePractice (or similar EHR)
- Knowledge of CPT and ICD-10 coding
- Familiarity with commercial insurance, Medicare, and Medicaid
- Strong computer skills
Required:
- Excellent organizational skills
- Strong communication abilities
- Ability to multitask
- Attention to detail
- Dependable attendance
- Ability to work independently
- High level of integrity and confidentiality
Ideal Candidate
The ideal candidate is someone who:
- Enjoys solving billing problems
- Is proactive rather than reactive
- Is organized and detail-oriented
- Communicates kindly with clients
- Learns new systems quickly
- Takes ownership of their work
- Values accuracy and accountability
Schedule
- Approximately 10–15 hours per week initially
- Flexible weekday schedule, no weekends
- Opportunity for increased hours as practice grows
Pay: $18.00 - $24.00 per hour
Work Location: In person
Salary : $18 - $24