Billing and Claims Specialist

BHC • Wausau, WI

16h

About The Position

The Billing and Claims Specialist supports the 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. Such information may be used only for authorized business purposes and must be protected 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 assigned by BHC.

The work primarily involves computer and telephone tasks in a professional office or approved remote-work environment. The employee must be able to 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. BHC is an equal opportunity employer and provides reasonable accommodations during the application and hiring process as required by law. Successful candidates must complete Form I-9 as part of onboarding.

Requirements

• Be compassionate and able to handle confidential information responsibly.
• Be able to learn and use computer software systems; training will be provided.
• Have working knowledge of Microsoft Office and Google Workspace, including Docs and Sheets.
• Be able to work effectively both independently and as part of a team.
• Show willingness to learn and adapt.
• Have strong organizational and time-management skills.
• Have strong verbal and written communication skills, including professional phone skills.
• Be willing 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.

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