Billing Specialist

Crossroads HealthMentor, OH
Onsite

About The Position

The Billing Specialist is responsible for the billing, payment posting, and collection of Crossroads’ accounts receivables. Parties responsible for payment include but are not limited to the client, third party insurances, Medicaid and the ADAMHS Board. It includes establishing clients and/or updating demographic information on the billing system, verifying all aspects of a client’s payment arrangements, recording payments, and expediting the collection of payments and resolution of past due accounts.

Requirements

  • High school diploma or equivalent
  • Two (2) years of experience in a Billing Specialist (preferred)
  • Experience in the healthcare, nonprofit sector (preferred)
  • BLS/CPR/First Aid (as applicable, company provided)

Responsibilities

  • Responsible for billing clients, MACSIS (ADAMHS Board, Medicaid), insurances and all other potential billing parties in a timely manner.
  • Verify client insurance coverage, request additional billing information from all sources if needed, record all billing payments made by all parties.
  • Work within the team and payer structures to reduce outstanding accounts receivable.
  • Assist in efforts that resort in additional reimbursement for Crossroads Health.
  • Maintains current and accurate client balances and provides monthly billing statements for client portion.
  • Maintains and updates insurance company correspondence, changes and mailing list.
  • Review's payment remittance for full benefit reimbursement.
  • Resolves outstanding balances due to partial or nonpayment activity.
  • Following up all claims that have been denied by payers to determine needs and effectively turn the denial into payment based on payer guidelines.
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