Billing and Claims Specialist

BHC • De Pere, WI

21h

About The Position

The Billing and Claims Specialist supports accurate and timely billing of mental health services at Behavioral Health Clinic (BHC). The role works with clinicians, administrative staff, patients, and insurance companies to submit and process insurance claims. It also involves entering payments, preparing billing statements and reports, researching payer requirements, resolving billing issues, and supporting patient collections.

The position handles confidential employee, applicant, benefit, health, financial, and organizational information and must protect and use it only for authorized business purposes in accordance with applicable laws, professional standards, and BHC policies. Required training may include new-hire orientation, HIPAA and privacy, information security, compliance, HR-system training, and other role-specific training.

The work primarily involves computer and telephone tasks in a professional office or approved remote-work environment. The employee must communicate verbally and in writing, use standard office technology, and maintain concentration amid routine interruptions. Reasonable accommodations may be provided as required by applicable law.

Requirements

• Compassion and ability to handle confidential information responsibly.
• Ability to learn and use computer software systems; training will be provided.
• Working knowledge of Microsoft Office and Google Workspace, including Docs and Sheets.
• Ability to work effectively both 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.

Nice To Haves

• Experience in medical coding or billing; preferred but not required.
• Three to five years of work experience preferred.

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 sound business practices.
• Support patient collections, including collecting copays and patient balances, issuing refunds, and managing the collections process.
• Perform other duties as assigned.
• Protect confidential information and use it only for authorized business purposes.
• Complete required training assigned by BHC.

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.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed