Insurance and Billing Specialist
Listed on 2026-10-24
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Healthcare
Healthcare Administration, Healthcare Management, Medical Billing and Coding, Healthcare Compliance
Description
The Insurance & Billing Specialist position serves as a key role in improving the overall effectiveness of revenue cycle collections. The applicant will need to have an extensive background in the submission of claims to third party payers & an understanding of making corrections to maximize cash flow in a healthcare environment, preferably within community mental health. The applicant should also have a background working with electronic medical records (EMR) system software that is utilized to maximize correct third party claim submission.
Applicant will become a go-to resource for troubleshooting system issues that end users may have.
The job responsibilities include but are not limited to:
- Responsible for proper and efficient setup of payer definitions within the EMR
- Responsible for proper setup of client insurance upon intake
- Credentialing of new staff with payers
- Responsible for review & process of claims in various stages of revenue cycle in a timely manner.
- Act as a liaison for clients with questions or issues
- Responsible for itemized patient statements
- Monitor work flow and recommend process/procedural improvements as needed.
- Maintain compliance with federal, state and local regulations, HIPAA and the Corporate Responsibility Program
- Required:
Minimum 5 years of experience working with third party payers (preferably community mental health environment or healthcare setting) - Required:
Minimum 3 years of experience with Excel - Experience in claim follow-up in a healthcare practice environment preferred.
- Assist with EMR infrastructure as it pertain to claim submission & payment data entry
- Knowledge of Medicare and Medicaid regulations and other insurance guidelines
- Understanding credentialing of direct service staff with third party payers
- An understanding of healthcare billing to minimize the error rate in claim submission
- Competitive Pay
- Supportive/Flexible work environment with high employee satisfaction rates
- Generous Paid Time off & Holidays
- Medical, Dental and Vision, Group Life, FSA, HSA, and 401K plan
Concord Counseling Services is an Equal Opportunity Employer.
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