Claims Billing Specialist

At Root Center, we believe our employees are our greatest asset, and we're committed to creating a supportive and engaging work environment where everyone can thrive.  We're driven by a clear purpose and a set of core values that shape everything we do, from nurturing growth and promoting well-being to cultivating connections and making a positive impact.

In fact, 97% of our newly hired employees would recommend us to their friends for employment opportunities, and 96% said they strengthened their skills in their first few months. If you share our commitment to these values and want to join a team that lives them every day, Root Center might be the perfect fit for you!

Position Summary 

Under the direction of the Claims Supervisor, produces bi-weekly claims, processes and balances remittance advices (Explanation of Benefits) received with payments to update the accounts receivable sub-ledgers, prints reports and files billing and remittance records as required.  

Hourly Rate Range Starting at $20.00. 

Actual pay will be determined based on several factors. These may include education, work experience and in some instances, certifications. We strive for market alignment and internal equity with our colleagues’ pay.

Essential Functions 

The responsibilities of the Claims Billing Specialist include, but are not limited to the following:  

• Processes Claims; generates claims either as paper billings of electronic files.   
  • Receives and sorts incoming payments with attention to credibility.  
  • Manages the status of accounts and balances and identifies inconsistencies. 
  • Issues invoices, bills and receipts. 
  • Updates account database with new accounts or missed payments. 
  • Processing remittances received from payers so that open claims are updated as paid or denied under dollar control. 
  • Balancing remittances to ensure updated claim records equal payments received.   
• Customer Service; Ensures all clients remain informed on their outstanding debts and deadlines.  
  • Provides assistance to clients and employees who need guidance on insurance deductibles, co-pays or balances.  
• Mailing; prepares mailings or paper claims or electronically transmitting electronic claims.  
• Filing; Documents duplicate payments or other off-balance conditions.   
  • Files office copies of claims.    
• Reports; utilizes the billing system to produce reports for the accounting department of claims management, as requested by the Claims Billing Supervisor. 
• Confidentiality; adheres to Root Center for Advance Recovery's Corporate Compliance Code of Conduct, policies and procedures as well as state and federal law and regulations regarding HIPAA and Privacy and Security. 

Minimum Qualifications Requirements 

Associate’s Degree in Accounting or related field, and two (2) years’ experience in a billing or insurance position, preferably in a healthcare setting, required. Bachelor’s Degree preferred.   

COMPENSATION & BENEFITS

For all benefit eligible employees, we offer a prestigious employment package that includes competitive compensation plus a comprehensive array of benefits including:

• Work Life Balance- Flexibility: Great work life balance with clinics closed on Sundays. No current on-call responsibilities. Time off including PTO (4 weeks), three (3) Paid training days and thirteen (13) paid holidays, including your birthday! 35 hour work week and so much more!
• Health Insurance & Dental Insurance- with flexible employee contribution options depending upon chosen plan.
• Voluntary Vision Insurance
• Life Insurance and AD&D – 100% paid by Root Center for Advanced Recovery
• Short-Term Disability – 100% paid by Root Center for Advanced Recovery
• 403(b) Retirement Plan with a 5% employer match after 6 months of employment and an additional 5% employer contribution after 1 year of employment.
• $2000 provided annually for tuition, license reimbursement, certifications or other educational activities, including 3 paid training days for educational activities and conferences; an additional $1000 available for counselors seeking outside supervision hours when such can not be provided in the organization internally. 
• Annual bonus eligible based on agency performance
• Root Center has approved sites for the following NHSC Loan Repayment Programs: The Loan Repayment Program, Students to Service Loan Repayment Program, Rural Community Loan Repayment Program and Substance Use Disorder Workforce Loan Repayment Program.

EEO Statement:

Root Center is committed to hiring and retaining a diverse workforce. Root considers applicants for employment without regard to, and does not discriminate on the basis of, an individual’s sex, race, color, religion, age, disability, status as a veteran, or national or ethnic origin; nor does Root Center discriminate on the basis of sexual orientation or gender identity or expression.

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