Billing & Insurance Specialist

The Camden Center•Los Angeles, CA
•$60,000 - $90,000•Hybrid

About The Position

Camden Center is seeking an experienced, detail-oriented Billing and Insurance Specialist with a background in facility-based mental health and substance use disorder billing. The role combines medical billing, insurance reimbursement, patient account management, and financial operations, with a focus on PHP and IOP services and support for out-of-network behavioral health claims. The specialist works with insurance, finance, admissions, and clinical operations teams to accurately process and reconcile claims, payments, and patient account balances. The position reports directly to the Executive Director of Admissions and Insurance. The position is full-time, 40 hours per week, Monday through Friday, 9:00 a.m. to 5:00 p.m. A hybrid schedule may be possible with planning, although some in-office work is necessary. The role is based at the Los Angeles office and offers an annualized salary of $60,000–$90,000, commensurate with experience. Camden Center describes its workplace as mission-driven and collaborative, with an emphasis on clinical excellence, compassionate care, and meaningful contributions to the patient and family experience. It offers continuing education, professional development, and opportunities for career growth. Benefits include medical, vision, and dental insurance, an FSA, commuter benefits, a 401(k) with employer matching, paid time off, and paid parking while working onsite.

Requirements

  • Medical billing experience and a strong understanding of the healthcare claim lifecycle from submission through adjudication and payment.
  • Experience with facility-based mental health and/or substance use disorder billing.
  • Working knowledge of PHP and IOP billing and reimbursement.
  • Working knowledge of Verification of Benefits, HCPCS codes, Revenue Codes, ICD10 Coding, UB04 claim forms, EOBs, deductibles, coinsurance, denials, adjustments, and appeals.
  • Experience reviewing insurance reimbursement and identifying claim payment or processing discrepancies.
  • Familiarity with HIPAA requirements and handling confidential patient and financial information.
  • Excellent written and verbal communication skills, including professional communication with patients, guarantors, insurance representatives, and colleagues.
  • Exceptional attention to detail and ability to reconcile complex patient and insurance accounts.
  • Strong organizational and time-management skills, including the ability to manage multiple accounts, deadlines, and follow-up items simultaneously.
  • Proficiency with Google Workspace and ability to learn billing and financial software quickly.
  • High level of accountability, discretion, reliability, and professional judgment.

Nice To Haves

  • Experience with out-of-network behavioral health billing and reimbursement.
  • Experience in a mental health and substance use disorder treatment setting.

Responsibilities

  • Manage billing and claims for facility-based mental health and substance use disorder services, including PHP and IOP levels of care.
  • Submit and review insurance claims for accurate patient, provider, facility, service, and billing information.
  • Support out-of-network claim billing and reimbursement, including reviewing claim status, reimbursement, patient responsibility, and payment discrepancies.
  • Review EOBs, insurance payments, denials, adjustments, deductibles, coinsurance, and other claim determinations.
  • Post detailed insurance payment and reimbursement information to patient accounts using electronic billing software.
  • Investigate unpaid, underpaid, denied, rejected, or incorrectly processed claims and assist with follow-up and resolution.
  • Assist with claim follow-up, reconsiderations, appeals, and documentation for denied or incorrectly processed claims.
  • Respond professionally to patient and guarantor questions about invoices, payments, insurance reimbursement, balances, credits, and discrepancies.
  • Scan, label, upload, and organize insurance correspondence, EOBs, checks, and other billing and financial documents in electronic systems.
  • Participate in meetings with finance, insurance, admissions, and other departments to review outstanding claims, balances, payments, reimbursement issues, and reconciliation matters.

Benefits

  • Continuing education and professional development, including seminars, workshops, and other learning opportunities.
  • Opportunities for career growth and advancement, including promotion from within.
  • Medical insurance.
  • Vision insurance.
  • Dental insurance.
  • Flexible spending account (FSA).
  • Commuter benefits.
  • 401(k) with employer matching.
  • Paid time off.
  • Paid parking while working onsite at the Los Angeles office.
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