Billing Specialist
Billing Specialist
Union Category: I
Hours: Full Time
Location: Duluth, MN
Wage: $18.11 - $23.49 (Dependent Upon Experience)
Benefit Eligibility: Yes
Summary:
The Billing Specialist at Brightwater Health will navigate insurance and client billing. They help with preparing, reviewing, approving, and mailing invoices to various insurance companies.
Duties:
- Process and balance insurance and client payments in the patient billing system.
- Review, release and submit electronic claims.
- Review and mail client statements.
- Verify insurance eligibility and following up on overdue or denied insurance claims.
- Following up on missing prior authorizations
- Responding to client phone calls with account questions
- Prepare, review, approve, and mail invoices to various insurance companies.
- Utilize the following computer programs: Microsoft Word, Excel, Internet Explorer, Carelogic, and insurance websites as needed.
- Monitor and fix failed claims with Billing Supervisor support.
- Run weekly and monthly reports relating to services provided in our community support programs to make sure we are providing and collecting reimbursements under the correct program and funding source.
- Review and complete billing adjustments related to grants and write offs.
- Monitor and fix the self-pay report.
- Manage grant reporting related to client data spreadsheets.
- Review and track EAP billing.
- Respond to phone calls about account questions, verify insurance eligibility, prepare/mail miscellaneous invoices.
- Insurance verification.
- Verifying and obtaining prior authorizations when needed.
- Attend meetings and other training seminars essential to billing, outpatient mental health and Brightwater health.
- Agency Target Case Management Billing.
- Entering and monitoring client accounts with our collection agency.
- Complete and maintain agency credentialing and recredentialing with insurance payers, including applications, required documentation, and tracking enrollment status.
Minimum Qualifications:
- Moderate knowledge of health insurance plans.
- 1-3 years' experience working with health insurance and an understanding of common health insurance terminology.
- High school diploma or general education degree (GED) and six months of related experience.
- Typing 35 WPM, 10-key, good communication skills.
Desired Qualifications:
- One to 3 years' experience, knowledge or related training of health insurance, experience working with the public, ability to work in a fast-paced work environment, ability to prioritize workload, knowledge of insurance and claims/billing, good communication skills.
- Ability to work independently and as a team member.
- Experience with agency/provider credentialing, recredentialing, and payer enrollment processes preferred.
Brightwater Health Advantage:
- Flexible Scheduling
- Personal Training/License renewal budget.
- Ability to work collaboratively with a team and community partners.
- Unparalleled opportunity for growth and advancement in largest, most comprehensive behavioral health clinic north of the Twin Cities
- Full Benefit Package including; Vacation Time, Sick Time, Personal Time, 11 paid Holidays per calendar year, Medical Insurance, Dental Insurance, Vision Insurance, Life Insurance, AD&D Insurance, Long Term Disability, Employee Assistance Program, and an Employer Matched 401K.
Obtaining Applications: Apply online at https://brightwaterhealth.org/
Brightwater Health does not discriminate against applicants on the basis of their race, color, national origin, religion, creed, disability, age, sex, sexual orientation, gender identity, marital status, familial status, or status with regard to public assistance, or membership or activity in a local human rights commission.