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We are looking for a detail-oriented Medical Biller/Collections Specialist to support behavioral health billing and collections activities. This contract position has the potential to become permanent and is ideal for someone who can manage claims follow-up, monitor benefit recertification timelines, and help maintain accurate billing practices across program operations. The role requires strong communication, sound judgment, and a proactive approach to resolving billing issues, denials, and outstanding balances while meeting healthcare compliance standards.
Job Responsibility
Track benefit eligibility for individuals in behavioral health programs and notify operational teams when recertification deadlines are approaching within the required timeframe
Coordinate with program staff to monitor recertification progress and help ensure renewals are completed in accordance with behavioral health regulations
Review billing documentation for accuracy and completeness before claim submission, and address missing or inconsistent information promptly
Provide guidance to operational teams on appropriate coding and billing practices to support clean claim submission
Analyze aging reports and take action to improve collection timeliness on outstanding accounts
Contact responsible parties regarding overdue balances, document unresolved matters, and escalate complex issues to the Billing Manager for further review
Investigate unpaid, denied, or partially reimbursed claims by examining supporting records and payer correspondence to determine next steps
Prepare and submit appeals for denied or underpaid claims, maintain detailed records of all payer communications, and follow through until resolution is reached
Alert the Billing Manager to payment barriers caused by billing errors, coding issues, or inaccurate patient information, and assist with special projects or general office support as needed
Ensure all paper and electronic records are processed accurately, completed on time, and aligned with quality and compliance expectations
Requirements
Experience in medical billing and collections within a healthcare setting
Working knowledge of claim denial research, appeals processing, and payment follow-up
Familiarity with hospital or behavioral health billing practices and related documentation requirements
Ability to review coding and billing details for accuracy and identify issues that may delay reimbursement
Strong written and verbal communication skills for interacting with internal teams, payers, and responsible parties
Proficiency in documenting account activity, claim status updates, and payer conversations with accuracy
Organized approach to managing deadlines, aging accounts, and multiple follow-up activities simultaneously
What we offer
Medical, vision, dental, and life and disability insurance