Serenity is hiring an experienced In-House Billing Specialist to manage the full revenue cycle for substance use disorder treatment programs. This role handles claims across multiple Louisiana Medicaid managed care plans and commercial payors, ensuring reimbursement is accurate, timely, and compliant.
This is a full-time, on-site position working closely with clinical, intake, and leadership teams to ensure care is properly documented, authorized, billed, and paid.
Key responsibilities include end-to-end billing for detox, residential, IOP, PHP, and outpatient services; submitting clean claims to Louisiana Medicaid MCOs and related payors; managing commercial insurance billing; tracking eligibility, benefits, prior authorizations, and concurrent reviews; posting payments and ERAs; resolving denials and appeals; monitoring A/R aging; maintaining compliance with LDH, HIPAA, and 42 CFR Part 2; and producing revenue cycle reports for leadership.
Required qualifications
- 3+ years of medical billing experience, with direct experience in substance use disorder or behavioral health billing
- Experience billing multiple Medicaid payors simultaneously
- Knowledge of Louisiana Medicaid guidelines, LDH requirements, and the Louisiana MCO landscape
- Experience with commercial insurance billing, including authorizations, coordination of benefits, and appeals
- Strong command of CPT, HCPCS, ICD-10, UB-04, and CMS-1500 claim forms
- Experience using an EHR/practice management system and clearinghouse such as Availity, Waystar, or similar
- Understanding of HIPAA and 42 CFR Part 2 confidentiality rules
- High school diploma or equivalent required
Preferred qualifications
- Experience owning or running a medical billing firm
- 5+ years of billing experience in addiction treatment
- Certification such as CPC, CPB, CBCS, or CRCR
- Experience setting up billing workflows, payor contracts, and fee schedules
- Associate or bachelor's degree in healthcare administration, business, or a related field
Benefits and perks
- Competitive salary based on experience
- Health insurance
- Dental insurance
- Vision insurance
- Disability insurance
- Paid time off
- Paid holidays
- 401(k)
- 401(k) matching
Location
Baton Rouge, Louisiana, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$69,000 - $90,000
Remote work allowed
No
Posted
3 weeks ago