Insurance Billing Specialist

Brightli•Kirksville, MO

3d•Onsite

About The Position

At Centerstone, our mission starts with ensuring the financial processes that support patient care run smoothly and efficiently. As an Insurance Billing Specialist, you'll play a critical role in maintaining accurate billing practices, resolving claim issues, and helping maximize reimbursement for services provided. If you're detail-oriented, organized, and enjoy problem-solving in a healthcare environment, we'd love to hear from you.

Requirements

High School Diploma or equivalent.
Minimum of three (3) years of experience in bookkeeping, accounting support, healthcare administration, or a related financial role.
Minimum of two (2) years of experience in insurance billing, medical billing, or healthcare revenue cycle operations.
Strong understanding of medical billing, collections, and insurance reimbursement processes.
Working knowledge of medical coding principles and third-party payer requirements.
Excellent attention to detail and ability to identify billing discrepancies.
Strong problem-solving and analytical skills.
Outstanding communication and customer service abilities.
Accurate 10-key and alphanumeric data entry skills.
Proficiency in Microsoft Office applications, including Excel, Word, Outlook, and database systems.
Ability to manage multiple priorities while meeting deadlines in a fast-paced environment.

Nice To Haves

Coursework in business practices, accounting, or related areas preferred.
Experience working with behavioral health or healthcare billing systems.
Knowledge of insurance authorization, claims appeals, and revenue cycle management processes.
Familiarity with electronic health record (EHR) and billing software systems.

Responsibilities

Prepare, review, and submit insurance claims for private payers in accordance with established billing timelines.
Audit claims and supporting documentation to ensure accurate coding, diagnoses, and charges before submission.
Maintain accurate records related to insurance billing activity, claim status, denials, authorizations, payments, and reimbursement trends.
Monitor payer reimbursement patterns and identify concerns related to contracted and out-of-network insurance payments.
Investigate, follow up on, and resolve unpaid or denied claims.
Prepare and submit claim appeals within required industry timeframes.
Communicate claim and appeal statuses to program staff and stakeholders.
Generate timely reports related to accounts receivable, claim status, collections activity, and reimbursement trends.
Assist with monitoring outstanding receivables and provide recommendations regarding collections, write-offs, and reimbursements.
Support process improvement initiatives, including billing system enhancements and database maintenance.
Collaborate with billing leadership and internal teams to improve efficiency, accuracy, and financial outcomes.

Benefits

29 Days of Paid Time Off (PTO)
HRSA Loan Repayment Eligibility (requirements apply)
Comprehensive Medical, Dental, and Vision Insurance
Competitive 403(b) Retirement Plan with up to 5% Company Match
Company-Paid Basic Life Insurance
Emergency Medical Leave Program
Flexible Spending Accounts (Healthcare & Dependent Care)
Employee Assistance Program (EAP)
Employee Discount Program
Health & Wellness Initiatives
Mileage Reimbursement (when applicable)
Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
Top-notch training: initial, ongoing, comprehensive, and supportive
Career mobility: advancement opportunities/promoting from within