Insurance Billing Specialist

Job Description:

Job Title:

Insurance Billing Specialist

Location:

St. Charles, MO OR Remote

Department:
Financial Services

Schedule:

Full-Time, In-Person or Remote

Hours:

Monday-Friday | 8:00 a.m.

- 5:00 p.m.

Remote Work Eligibility:
This position has the option to be remote; however, candidates must reside in a state where Centerstone is currently authorized to employ remote workers. At this time, we are unable to consider applicants who reside in Alaska, California, Connecticut, Delaware, Maryland, Massachusetts, Montana, New Jersey, New York, Oregon, or Vermont.

Make an Impact Behind the Scenes of Patient Care As an Insurance Billing Specialist, you'll play a critical role in maintaining accurate billing practices, resolving claim issues, and helping maximize reimbursement for services provided. If you're detail-oriented, organized, and enjoy problem-solving in a healthcare environment, we'd love to hear from you.

• 29 Days of Paid Time Off (PTO)
• HRSA Loan Repayment Eligibility (requirements apply)
• Comprehensive Medical, Dental, and Vision Insurance
• Competitive 403(b) Retirement Plan with up to 5% Company Match
• Company-Paid Basic Life Insurance
• Emergency Medical Leave Program
• Flexible Spending Accounts (Healthcare & Dependent Care)
• Employee Assistance Program (EAP)
• Employee Discount Program
• Health & Wellness Initiatives
• Mileage Reimbursement (when applicable)

• Prepare, review, and submit insurance claims for private payers in accordance with established billing timelines.
• Audit claims and supporting documentation to ensure accurate coding, diagnoses, and charges before submission.
• Maintain accurate records related to insurance billing activity, claim status, denials, authorizations, payments, and reimbursement trends.
• Monitor payer reimbursement patterns and identify concerns related to contracted and out-of-network insurance payments.
• Investigate, follow up on, and resolve unpaid or denied claims.
• Prepare and submit claim appeals within required industry time frames.
• Communicate claim and appeal statuses to program staff and stakeholders.
• Generate timely reports related to accounts receivable, claim status, collections activity, and reimbursement trends.
• Assist with monitoring outstanding receivables and provide recommendations regarding collections, write-offs, and reimbursements.
• Support process improvement initiatives, including billing system enhancements and database maintenance.
• Collaborate with billing leadership and internal teams to improve efficiency, accuracy, and financial outcomes.

• Strong understanding of medical billing, collections, and insurance reimbursement processes.
• Working knowledge of medical coding principles and third-party payer requirements.
• Excellent attention to detail and ability to identify billing discrepancies.
• Strong problem-solving and analytical skills.
• Outstanding communication and customer service abilities.
• Accurate 10-key and alphanumeric data entry skills.
• Proficiency in Microsoft Office applications, including Excel, Word, Outlook, and database systems.
• Ability to manage multiple priorities while meeting deadlines in a fast-paced environment.

• High School Diploma or equivalent.
• Coursework in business practices, accounting, or related areas preferred.
• Minimum of three (3) years of experience in bookkeeping, accounting support, healthcare administration, or a related financial role.
• Minimum of two (2) years of experience in insurance billing, medical billing, or healthcare revenue cycle operations.
• Preferred Experience working with behavioral health or healthcare billing systems.
• Knowledge of insurance authorization, claims appeals, and revenue cycle management processes.
• Familiarity with electronic health…