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.
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.
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
- Emphasis on life/work balance. Start working smarter, not longer. Have the opportunity to work 36 hours every week while still getting paid for 40 hours worked.
- 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/
Equal Opportunity / Affirmative Action Employer
Minorities Encouraged to Apply