Billing Specialist
Core
Manage insurance Accounts Receivable (A/R), resolve denied claims, and serve as a key point of contact for patients and families regarding billing and insurance questions.
Role type
Healthcare billing specialist (Revenue Cycle Management)
Builds
Timely and accurate claim reimbursement based on contracted rates for pediatric mental health services
Domain
Healthcare / Behavioral Health / Pediatric Mental Health
Required skills
Medical billing procedures, CPT/ICD-10 coding, Insurance terminology, EHR/PM systems (AthenaHealth, Epic, eClinicalWorks), HIPAA compliance, Customer service, Claim denial resolution, Payment posting, Patient eligibility verification
Preferred skills
Behavioral health or pediatric healthcare billing experience
Technologies
AthenaHealth, Epic, eClinicalWorks, Insurance portals
Responsibilities
Resolve insurance claim denials and work with payers to ensure accurate reimbursement; Investigate claim denials via portals to resubmit claims or draft appeals; Contact patients to update insurance details, set up payment plans, and answer billing inquiries; Process credit card payments and insurance/patient refunds; Partner with clinicians to resolve billing issues related to patient payments or coverage.