Contract Billing Specialist
Benefits
- Competitive Rewards: Above‑market compensation, healthcare coverage on day one, plus one or more dependents, paid time‑off with cash conversion, group life insurance, and performance bonuses
- A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company‑sponsored events and activities
- Work‑Life Harmony: Balance work and life with flexible work arrangements
- Career Growth: Opportunities for continuous learning and career advancement
- Inclusive Teamwork: Part of a team that celebrates diversity and fosters an inclusive culture
Position Summary
The Contract Billing Specialist provides comprehensive revenue cycle support across multiple client organizations on a contract basis. This role manages the full billing lifecycle — from charge entry through payment posting and collections — across multiple electronic health record (EHR) and practice management systems. The ideal candidate is a self‑directed billing professional who thrives in a fast‑paced, multi‑client environment and brings deep knowledge of behavioral health billing practices.
Key Responsibilities
Charge Entry & Claim Submission
- Access and navigate multiple EHR and practice management systems to enter and submit charges accurately and on time
- Review clinical documentation to ensure charges reflect services rendered and are supported by appropriate diagnosis and procedure codes (CPT, ICD‑10, modifiers)
- Verify patient demographics, insurance information, and authorization requirements prior to claim submission
- Submit claims electronically through client‑designated clearinghouses or payer portals, following payer‑specific formatting and billing rules
Denials & Rejections Management
- Monitor and work denials and rejections queues across all contracted client accounts
- Identify denial trends by payer, provider, or service type and elevate patterns to client leadership with actionable recommendations
- Research payer policies, appeal requirements, and timely filing deadlines to determine the appropriate resolution path for each denied claim
- Draft and submit appeals with supporting clinical documentation, authorization records, and billing narratives as needed
- Coordinate with client clinical and front‑office staff to obtain missing information or corrected documentation required to resolve denials
Payment Posting
- Post electronic remittances (ERAs) and manual explanations of benefits (EOBs) accurately across all client accounts
- Reconcile posted payments against deposit records and identify and resolve discrepancies
- Process contractual adjustments, write‑offs, and patient responsibility balances in accordance with each client’s payer contracts and policies
- Identify underpayments and coordinate corrected payment requests or recoupment responses as needed
Patient & Client Invoicing
- Generate and distribute patient statements and invoices according to each client’s billing cycle and policies
- Manage self‑pay and patient responsibility balances, including follow‑up on outstanding invoices
- Prepare and deliver periodic invoicing to contracted organizational clients (e.g., facilities, partner agencies) for services rendered
- Respond to patient and client billing inquiries in a professional and timely manner
Reporting & Communication
- Maintain organized, up‑to‑date billing records and activity logs for each contracted client
- Provide regular billing status updates, aging reports, and collections summaries to client contacts
- Participate in billing review calls or meetings with contracted clients as scheduled
- Flag compliance concerns, credentialing gaps, or authorization issues that may impact reimbursement
Qualifications
- Minimum 2–3 years of medical billing experience encompassing charge entry, denials management, payment posting, and patient billing
- Demonstrated ability to work within multiple EHR and/or practice management systems simultaneously
- Strong knowledge of CPT codes, ICD‑10 diagnosis codes, and modifiers specific to behavioral health and outpatient mental health services
- Experience with ERA/EOB reconciliation and payment posting workflows
- Familiarity with commercial, Medicaid, and Medicare payer requirements and appeals processes
- Highly organized with the ability to manage billing responsibilities across multiple client accounts without loss of accuracy or timeliness
Preferred
- Prior experience in a contract, remote, or multi‑client billing role
- Exposure to behavioral health EHR platforms such as Valant, Therapy Brands, SimplePractice, KIPU, AdvancedMD, Credible, or similar
- Experience with Waystar or comparable clearinghouse platforms
- CPC, CPB, or other medical billing/coding certification
- Knowledge of Montana Medicaid and regional commercial payer policies
Skills & Competencies
- Fluency in multiple EHR and practice management environments with the ability to onboard quickly to new systems
- Strong analytical skills with attention to detail across high‑volume, multi‑client workflows
- Excellent time management and ability to prioritize across competing deadlines
- Clear written and verbal communication, including the ability to explain billing issues to non‑billing staff
- Discretion and professionalism in handling sensitive patient and financial data
- Commitment to HIPAA compliance and billing integrity across all client engagements
Work Environment
This is a remote position. The Specialist must maintain a secure, HIPAA‑compliant work environment and reliable internet access. Availability during core business hours is required, with flexibility to accommodate multiple client time zones or billing cycles as needed.