POSITION: Billing & Finance Specialist

Primary Responsibilities 

Billing and Claims Management 

• Manage and process claims to third-party payors, including submission, follow-up, and resolution of outstanding claims 
• Ensure accurate and timely claim submissions based on provider and client records 
• Verify insurance eligibility and client coverage details 
• Review claim denials or rejections and resolve issues through corrective action 
• Maintain current knowledge of insurance policies, coding, and billing regulations 
• Coordinate with insurance providers for claims follow-up and payment reconciliation 
• Support clients to find the best coverage for uninterrupted care 
• Report to or process claims through BH-ASO according to requirements 
• Proactively research and investigate weaknesses and risks of current billing process 
• Build a knowledge base about billing issues for future reference 

Client Billing and Payment Processing 

• Prepare and issue accurate client invoices 
• Manage client accounts, including payment collection and overdue account follow-ups 
• Address client billing inquiries and resolve disputes professionally 
• Process client payments through various payment systems 
• Apply and track client payment plans, if applicable 
• Staying up to date on HCFAs and SERI guidelines for appropriate coding, charges, allowable, co-pays and supporting documentation. 

Financial Reporting and Reconciliation 

• Maintain accurate financial records and billing databases 
• Reconcile payments, claims, and adjustments to financial records 
• Prepare financial reports, including revenue, aging accounts, and outstanding balances 
• Support financial audits and ensure compliance with company policies 

Administrative and Compliance Support 

• Maintain compliance with HIPAA and privacy regulations 
• Ensure proper documentation of financial records and billing correspondence 
• Assist with budget preparation and financial planning 
• Collaborate with administrative and clinical teams to improve financial processes 
• Manage credential profiles for all providers including but not limited to One Health Port/NPI and taxonomy codes, all 3rd parties (Netsmart, MCOs, etc) and otherwise ensure EHR billing metadata remains up to date. 

Required Qualifications: 

• Bachelor’s degree in accounting, finance or healthcare administration 
• Minimum of 2 years of experience in medical billing and insurance claims management 
• Familiarity with billing software, EHR systems, and MS Office suite 
• Strong knowledge of insurance policies, claims processing, and medical coding (CPT, ICD-10) 
• Experience working in a behavioral health or medical environment 
• QuickBooks experience 

Contact: [email protected]