Billing Claims Specialist
Job in
Hempstead, Nassau County, New York, 11549, USA
Listed on 2026-10-04
Listing for:
Paycom - ATS
Full Time
position Listed on 2026-10-04
Job specializations:
-
Healthcare
Medical Billing and Coding, Healthcare Administration
Job Description & How to Apply Below
Charge Entry / Billing Specialist Behavioral Health & Substance Abuse Billing Required Experience & Qualifications3+ years of experience in charge entry and billing specifically within substance abuse and/or mental health/behavioral health settings
Proven experience with rebilling and corrected claims submission
Hands-on experience working a rejected claims work queue, including researching, correcting, and resubmitting denials
Proficiency with both UB04 (institutional) and HCFA-1500 (professional) claim forms
Experience submitting both new (original) claims and corrected claims
Working knowledge of payer-specific billing requirements and claim rejection/denial codes
Familiarity with EHR/billing software systems (e.g., Med Trainer, Collaborate MD, Sunwave, etc.)Understanding of insurance verification, claim timely filing limits, and appeals processes
Knowledge of CPT, ICD-10, and HCPCS coding as it relates to behavioral health/SUD billing
Preferred Qualifications
Experience with Medicaid billing rules for behavioral health services
Familiarity with commercial payer portals for claims status and appeals
Soft Skills Adaptability — comfortable shifting priorities in a fast-paced, high-volume environment
Attention to detail — accuracy is critical when correcting and resubmitting claims
Problem-solving mindset — able to research root causes of rejections rather than just resubmitting
Strong written and verbal communication — for coordinating with payers, providers, and internal teams
Time management — able to prioritize and manage a queue of claims against deadlines
Resilience and patience — persistence when dealing with repeated denials or complex payer requirements
Team player — willing to support colleagues during high-volume periods
Benefits:401(k) matching
Health Insurance Dental insurance
Vision insurance
Life insurance
Paid time off Remote
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