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Billing and Claims Specialist

Behavioral Health Clinic

Purpose

Supports the accurate and timely billing of mental health services at Behavioral Health Clinic (BHC).

Position Summary

Works with clinicians, administrative staff, patients, and insurance companies to submit and process insurance claims. Also enters payments, prepares billing statements and reports, researches payer requirements, resolves billing issues, and supports patient collections.

Key Responsibilities

  • Oversee coding of services using ICD-10 and DSM-5 coding guidance.
  • Submit claims through the electronic health record (EHR) and claims-processing software.
  • Enter payments, including electronic remittance advice (ERA), electronic funds transfers (EFT), and other payment types.
  • Prepare billing statements.
  • Research and resolve billing issues by working with insurance companies.
  • Run billing cycle reports.
  • Research coding rules and regulations for contracted payers to help guide business practices.
  • Support patient collections, including copays, patient balances, refunds, and the collections process.
  • Perform other duties as assigned.

Work Environment

This position primarily involves computer and telephone work in a professional office or approved remote-work environment.

Requirements & Qualifications

Minimum Qualifications

  • Compassionate and able to handle confidential information responsibly.
  • Able to learn and use computer software systems; training will be provided.
  • Working knowledge of Microsoft Office and Google Workspace, including Docs and Sheets.
  • Able to work effectively independently and as part of a team.
  • Willingness to learn and adapt.
  • Strong organizational and time-management skills.
  • Strong verbal and written communication skills, including professional phone skills.
  • Willingness to work occasional overtime.

Preferred Qualifications

  • Experience in medical coding or billing preferred, but not required.
  • Three to five years of work experience preferred.
Benefits & Perks

Benefits

  • Healthcare benefits, including dental, vision, short-term disability (STD), and long-term disability (LTD)
  • Retirement plan options
  • Paid time off (PTO) and holidays
  • Supportive, collaborative team environment
  • Opportunities for advancement and leadership

Location

Wisconsin, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

Yes

Posted

2 weeks ago

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