Healthcare Billing Specialist

CFHW • Lafayette, CO

3d • $21 - $25 • Hybrid

About The Position

As our Billing Specialist, you will work with assigned payers and accounts from initiation of one-touch, clean claim submission through payment resolution, including billing, rebilling/appeals, account resolution, and denial management. You will ensure that our receivables are entered and processed while maintaining customer/client support in a trauma-informed approach.

Requirements

• High School diploma or equivalent required.
• Three (3) years recent accounts receivable/customer service experience in mental healthcare Medicaid billing and collections to include computerized billing systems, cash receipts, private collections, Medicaid, Medicare, managed care and/or traditional insurance.

Nice To Haves

• Post high school business training desired.

Responsibilities

• Work with assigned payers and accounts from initiation of one-touch, clean claim submission through payment resolution, including billing, rebilling/appeals, account resolution, and denial management.
• Ensure that receivables are entered and processed while maintaining customer/client support in a trauma-informed approach.
• Complete billing process with Medicaid regarding mental and behavioral health, including substance use disorders (SUD), submitting claims to assigned payers within filing requirements.
• Post payments accurately.
• Follow up on all rejections, denials, and past due accounts to maximize collections.
• Resolve problems regarding billing failures and re-bills for assigned payers and accounts.
• Prepare and complete the deposit process daily from start to finish including copying, tracking, and maintaining accurate files and recording in the General Ledger.
• Handle refunds, unclaimed funds, and escheatment process for assigned payers.
• Respond to requests for information from customers (internal and external), work with other staff, clients or external third-party payers to resolve problems, challenges, or systemic issues.

Benefits

• Medical (Kaiser and Cigna options), dental, vision, FSA, HSA, life, disability, and retirement (with company match) plans
• Paid time off, paid holidays, and a comprehensive wellness program
• Commitment to Justice, Equity, Diversity, and Inclusion work
• Company contribution to student loans
• Engaged employer who believes you are an important factor in delivering our mission to the community with lots of opportunity to for dialogue with leaders
• Training, personal, and professional growth opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED