Billing Claims Specialist

Nrg-Mgmt-LLC; Florida; Presencial; USD 45 000 - 65 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

401(k) matching

Health Insurance

Dental insurance

Vision insurance

Life insurance

Paid time off

Remote

Resumo da oferta

Remedial Pro specializes in behavioral health revenue cycle management, offering medical billing, collections, insurance verification, and utilization review services for substance abuse and mental health treatment providers.

As a Charge Entry / Billing Specialist, you will handle high-volume charge entry and billing, research and resubmit denied claims, and ensure timely filing in UB04 and HCFA-1500 formats.

Qualificações

• 3+ years of charge entry and billing in behavioral health/substance abuse settings.
• Experience rebilling and resubmitting denied claims.
• Proficient with UB04 and HCFA-1500 claim forms.
• Experience submitting original and corrected claims.
• Knowledge of CPT, ICD-10, HCPCS for behavioral health billing.
• Familiarity with payer-specific billing requirements and denial codes.
• Familiarity with EHR/billing software systems.

Responsabilidades

• Handle charge entry and billing for behavioral health services.
• Research, rebill, and resubmit denied claims from a busy queue.
• Submit both new and corrected claims accurately and timely.
• Navigate payer requirements and denial codes to improve reimbursements.
• Collaborate with payers, providers, and internal teams as needed.

Conhecimentos

Attention to detail

Adaptability

Time management

Strong written and verbalcommunication

Problem-solving mindset

Team player

Resilience and patience

Ferramentas

MedTrainer

CollaborateMD

Sunwave

Descrição da oferta de emprego

About Remedial ProRemedial Pro specializes in behavioral health revenue cycle management, providing medical billing, collections, insurance verification, and utilization review services for substance abuse and mental health treatment providers. Our mission is to help healthcare organizations maximize revenue, improve efficiency, and focus on delivering exceptional patient care.Charge Entry / Billing SpecialistBehavioral Health & Substance Abuse BillingRequired Experience & Qualifications3+ years of experience in charge entry and billing specifically within substance abuse and/or mental health/behavioral health settingsProven experience with rebilling and corrected claims submissionHands-on experience working a rejected claims work queue, including researching, correcting, and resubmitting denialsProficiency with both UB04 (institutional) and HCFA-1500 (professional) claim formsExperience submitting both new (original) claims and corrected claimsWorking knowledge of payer-specific billing requirements and claim rejection/denial codesFamiliarity with EHR/billing software systems (e.g., MedTrainer, CollaborateMD, Sunwave, etc.)Understanding of insurance verification, claim timely filing limits, and appeals processesKnowledge of CPT, ICD-10, and HCPCS coding as it relates to behavioral health/SUD billingPreferred QualificationsExperience with Medicaid billing rules for behavioral health servicesFamiliarity with commercial payer portals for claims status and appealsSoft SkillsAdaptability — comfortable shifting priorities in a fast-paced, high-volume environmentAttention to detail — accuracy is critical when correcting and resubmitting claimsProblem-solving mindset — able to research root causes of rejections rather than just resubmittingStrong written and verbal communication — for coordinating with payers, providers, and internal teamsTime management — able to prioritize and manage a queue of claims against deadlinesResilience and patience — persistence when dealing with repeated denials or complex payer requirementsTeam player — willing to support colleagues during high-volume periodsBenefits:401(k) matchingHealth InsuranceDental insuranceVision insuranceLife insurancePaid time offRemote