Insurance Billing Specialist (55142)

YSS•Ames, IA

19h

About The Position

YSS is seeking an Insurance Billing Specialist to manage the revenue cycle, ensuring accurate billing, coding, insurance verification, and documentation. This role acts as a liaison between YSS, clients, and a third-party partner. The specialist will also support clinical and intake teams by providing guidance and training to improve reimbursement outcomes. Reporting to the Director of Outpatient Operations, this position collaborates with Revenue Cycle Management (RCM) and Welcome Teams.

Requirements

Bachelor’s degree in healthcare administration, business, accounting, or a related field.
Minimum of 2 years’ experience in insurance billing, coding, or revenue cycle management, ideally in behavioral health or healthcare.
Solid knowledge of insurance verification, prior authorizations, and billing regulations, including Medicaid and commercial plans.
Strong understanding of HIPAA regulations and experience handling sensitive health and financial information confidentially.
Proficiency with EMRs (preferably CareLogic) and reporting tools.
Embrace YSS core values - Commitment, Collaboration, Compassion, Innovation, Integrity, and a “Can Do” Spirit.

Nice To Haves

Familiar with mental health and substance use billing, including program-specific requirements and documentation best practices.
Highly attentive to detail and able to manage multiple tasks under deadlines.
Experienced with financial assistance programs, including Sliding Fee Scale (SFS) processes and documentation.
Professional in representing YSS to clients, staff, and partners.
A clear and effective communicator, able to explain complex billing information to clients and staff.
A problem-solver, able to identify trends and recommend process improvements.
A self-starter who takes initiative and works independently.
A collaborative team player who works effectively across multiple teams.
Rooted in purpose and driven by equity, inclusion, and positive social impact.
Bring humility, respect, and cultural awareness to every interaction.

Responsibilities

Keep billing operations running smoothly by coordinating with our third-party billing partner
Partner with Intake, Scheduling, and Clinical teams to identify and resolve billing delays
Verify insurance benefits and provide clear, upfront cost estimates for clients
Accurately enter insurance details, authorizations, and demographics in CareLogic
Maintain up-to-date client records, including managing returned mail
Connect with clients regarding balances and payment plans, and support daily balance/copay updates
Track and share insights on denials, receivables, and collection trends
Communicate billing and coding updates and escalate complex claim issues as needed
Assist clients with Sliding Fee Scale (SFS) applications and ensure compliance
Identify and recommend process improvements to strengthen revenue and cash flow
Serve as a go-to resource for billing questions and EMR support
Update billing and intake procedures to reflect best practices
Prepare reports and summaries to support informed decision-making