Billing Specialist

SAFY•Delphos, OH

7h•$45,000 - $55,000

About The Position

As a Billing Specialist, you will be responsible for the full revenue cycle management process for mental health and substance abuse billing services. This role ensures accurate coding, timely claim submission, proactive denial management, and accurate payment posting, ensuring that providers are correctly reimbursed while complying with HIPAA and 42 CFR Part 2 regulations. At SAFY, our mission is Preserving Families & Securing Futures. For 40 years, our work has rested on a single, radical idea – children belong in families. We believe that every child and family deserves the opportunity to reach their full potential. We are a team of 500 employees across seven states providing services such as Family Preservation & Reunification, Behavioral Health, Therapeutic Foster Care, Adoption Services and Older Youth Services so the families and children we serve can build resilience and thrive.

Requirements

High school diploma or GED required; associate or bachelor’s degree in healthcare administration, Accounting, or Business preferred.
2 -3 years minimum of medical billing experience, with a focus on behavioral health, mental health, or substance abuse treatment preferred.
Deep understanding of Medicaid, Managed Care Organizations (MCOs), and commercial insurance, particularly in the local state in which SAFY does business.
Strong experience with EHR/Practice Management software and billing clearinghouses.
Must be able to effectively operate in a dynamic environment with monthly deadlines and annual performance goals.
Proficiency in Microsoft Office Suite, specifically Excel, for data analysis and reporting.
Demonstrated critical thinking skills with the ability to challenge assumptions and propose solutions.
Strong analytical and problem-solving skills with high attention to detail.
Effective communicator, both written and verbal
Ability to work independently, prioritize multiple tasks, and meet deadlines.
Collaborative team player capable of building strong working relationships.
Proven track record of improving processes or contributing to operational efficiency.
Reliable attendance and punctuality are essential and the ability to work flexible hours
Professionalism and customer service orientation
Compassionate and patient, as there is potential you will work with children of varying abilities.
Strong organization skills, strong attention to details, accuracy and ability to prioritize workload

Responsibilities

Prepare, review, and submit electronic (EDI) and paper claims to commercial payers and Medicaid.
Investigate, appeal, and resolve denied or underpaid claims, maintaining a low denial rate.
Verify patient insurance benefits and obtain pre-authorizations for services.
Post payments and reconcile Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs).
Apply correct CPT, HCPCS, and ICD-10-CM (F-codes) specific to behavioral health services.
Prepare and send patient statements, manage patient collections, and handle billing inquiries.
Maintain strict adherence to HIPAA, 42 CFR Part 2, and state-specific Medicaid billing requirements.
Ensure patient demographic and insurance information is accurate in the Electronic Health Record (EHR).
Establish and maintain a positive working relationship with all levels of SAFY staff by participating in joint meetings, and problem identification and resolution.
Other duties as assigned.

Benefits

Targeted hiring range: $45,000.00 - $55,000.00
Compensation is commensurate with transferable experience, education and licensure of candidate, location of the position, along with internal equity and budgeted amount for the role.
Comprehensive benefit plan options including Medical, Dental, Vision, Disability, Life Insurance, Flexible Spending and Health Savings account options to meet your needs
401(k) Retirement plan with company match
10 paid holidays per year + 3 floating holidays, generous sick & vacation time and an additional day off for your birthday
All regular full and part time staff are eligible for quarterly and/or annual bonuses
Tuition Reimbursement up to $5,000 each year
CEU Reimbursement up to $1,000 each year
On demand access to earned wages through Zayzoon
Gain leadership skills, develop your clinical expertise, or earn CEUs with access to over 1,000 courses on our learning platform or through our talented in-house training department
Clinical Supervision Reimbursement up to $300 per month
Employee Assistance Program with 6 free visits per year
First Stop Health – A virtual Healthcare benefit
Free Financial Advisor Services
Support Services for alternative Health Insurance and benefit credit reimbursement options
Employee and Foster Parent Referral bonus program
Leave donation program
Adoption Assistance
Mileage reimbursement
Your choice of company paid cell phone or phone stipend