Billing & Reimbursement Specialist

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

This position is responsible for inputting and/or verifying service activity, including generation of bills through appropriate recording of payment. Responsible for staying current with and following guidelines set forth by Michigan Department of Health and Human Services, Michigan Legislature, Medicaid, Medicare, Blue Cross and other payers.

• Data Entry and Data Processing
  Input of service data into the required clinical and accounting electronic systems so the agency can bill for service, submit required reports and services delivered to the State of Michigan, track staff productivity, etc.
• Billing of Services
• Responsible for completing follow-up on rejections.
• Responsible for posting/applying payments received from payers and consumers for service provided.
• Verification of Data Integrity
  Must be able to verify consumer financial and insurance information accurately.
• Responsible for insuring consumer electronic medical charts are set up correctly to bill the appropriately insurance policies.
• Must understand and become familiar with the Behavioral Health reporting requirements and provider qualifications for providing and billing services on behalf West Michigan Community Health.
• Must meet claims submission deadlines set within internal policies and external contracts.
• Must work with MDHHS Liaison on Medicaid eligibly and other MDHHS/WMCMH shared workflows
• Provider Enrollment
• Must be able to complete provider enrollments for billable credentialed staff to the necessary insurance companies.
• Must be or become knowledgeable with CPT and HCPCS codes and which services are billable for which providers to specific insurances.

• Associates degree in accounting or finance with a minimum of one year of experience in medical billing, preferably in the mental health field. Candidates with a high school diploma or GED will be considered if they have two or more years of experience in medical billing, preferably in the mental health field.
• Familiarity with desktop software including Microsoft applications essential.
• Candidate will have a demonstrated knowledge of, and proficiency in, accounting procedures and automated billing and office data systems.
• Must have an ability to accurately enter data and utilize edit reports to balance.
• Must be able to effectively and accurately interpret and integrate information presented by system users.
• Must possess a valid driver’s license and provide own transportation to and from meetings and activities at varying work locations including all agency locations in Lake, Mason, and Oceana Counties.
• Lived experiences with mental illness/developmental disabilities/substance use disorders are valued.

Full-Time/Part-Time Full-Time

Pay Range $23.13 - $29.23

Position Reimbursement Specialist

Location Ludington

This position is currently accepting applications.