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Billing Claims Specialist

Job in Ithaca, Tompkins County, New York, 14850, USA
Listing for: Paycom - ATS
Full Time position
Listed on 2026-10-04
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 45000 - 65000 USD Yearly USD 45000.00 65000.00 YEAR
Job Description & How to Apply Below
About Remedial Pro Remedial Pro specializes in behavioral health revenue cycle management, providing medical billing, collections, insurance verification, and utilization review services for substance abuse and mental health treatment providers. Our mission is to help healthcare organizations maximize revenue, improve efficiency, and focus on delivering exceptional patient care.

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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