Billing Specialist

Position Summary:The Billing Specialist plays a critical role in supporting the financial and operational integrity of behavioral health services.

This position is responsible for preparing and submitting insurance claims, ensuring accurate billing, and overseeing self-pay collections to maintain compliance and ensure timely revenue.

Key Responsibilities: Prepare, review, and submit insurance claims for behavioral health services in accordance with payer guidelines.

Verify client insurance coverage and obtain necessary authorizations prior to service delivery.

Monitor and reconcile claims to ensure timely payment; follow up on denials or discrepancies.

Maintain accurate billing records and documentation for audits and compliance purposes.

Communicate with insurance companies, clients, and internal staff to resolve billing issues.

Manage self-pay collections, including sending statements, following up on outstanding balances, and arranging payment plans when appropriate.

Perform general bookkeeping and data entry tasks related to billing.

Complete additional duties as assigned to support the revenue cycle and compliance processes.