Billing Specialist

St Monica s Home•Lincoln, NE

13d•Onsite

About The Position

The Billing Specialist is responsible for timely and accurate billing, accounts receivable, and credentialing activities that support St. Monica's revenue cycle and payer participation. This role supports organizational revenue through claim submission, payment follow-up, resolution of billing issues, accurate documentation, and coordination with payers and internal teams.

Requirements

High School diploma or equivalent required
Previous medical billing experience required
Experience with electronic billing and electronic claim submission required
Must be at least 21 years of age.
First Aid/CPR certification required or ability to obtain certification (training provided).
Valid driver’s license and insurance required upon hire.

Nice To Haves

Business degree preferred.
behavioral health or substance use treatment billing experience preferred.
Experience with Medicaid, private insurance, accounts receivable follow-up, and denied claims preferred.

Responsibilities

Manage billing and accounts receivable activities for Region 5, Medicaid, private insurance, and other applicable funding sources.
Ensure claims and invoices are submitted accurately, completely, and within required timeframes.
Monitor outstanding accounts receivable and follow up on unpaid, underpaid, rejected, or denied claims to support timely resolution and payment.
Research billing discrepancies and denials; make necessary corrections and resubmit claims or provide additional information as required.
Maintain accurate billing, payment, and accounts receivable records and documentation.
Identify recurring billing or reimbursement issues and communicate concerns, trends, or needed process improvements to leadership.
Manages organizational and provider credentialing, recredentialing, enrollment, and contracting processes with Medicaid, managed care organizations, commercial insurance plans, and other applicable payers.
Maintains credentialing and enrollment requirements and coordinates with providers, payers, and internal leadership to support continuous and accurate payer participation.
Meets Job Expectations for Billing Specialist.
Performs other duties as assigned.