Billing & Reimbursement Specialist — Credentialing & Claims

Central-Plains-Center; Plainview (TX); On-site; USD 35,000 - 39,000; Full time

Benefits offered by this job

Generous leave time and holidays

100% Health coverage for our full-time

Supportive work environment

Job summary

Central Plains Center in Plainview, TX is seeking a Reimbursement Officer to manage billing, insurance submissions, and credentialing for providers. The role includes posting payments, bank deposits, and reporting to ensure timely revenue cycles.

The ideal candidate will have a high school diploma or GED, basic Excel skills, knowledge of medical billing, and a valid Texas driver’s license. Experience with credentialing and third-party payers is preferred.

Qualifications

• Must have high school diploma or GED, including and supplemented by courses in bookkeeping and typing
• Proficient in Excel is preferred, but not required
• Must have knowledge of or willing to learn facility credentialing
• Must have knowledge of medical billing
• Must have valid TX driver's license and be insurable

Responsibilities

• Will serve as the Center's Billing Specialist
• Responsible for the development, preparation, billing and collection of insurance (third-party payments of individuals served).
• Prepares and submits reports and requests for payment from third-party payers
• Responsible for the credentialing of all providers with MCO's, Medicare, Medicaid and private insurance
• Responsible for bank deposits and downloads the EOP's
• Responsible for the posting of incoming payments and adjustments
• File claims in a timely manner and helps to resolve billing issues
• Credentials all providers with MCO's, Medicare, Medicaid and private insurance
• Monitors billing against collection activities
• Ensure all invoicing is complete and mailed no later than the 10th day of the month
• Review client accounts for any discrepancies or balalnces owed to the Center
• Reviews and prepares reports
• Responsible for creating and distributing the journals in a timely manner to the appropriate person for posting of payments

Skills

Bookkeeping

Typing

Excel

Medical billing

Drivers license

Education

High school diploma or GED

Job description

Central Plains Center in Plainview, TX is seeking a Reimbursement Officer to manage billing, insurance submissions, and credentialing for providers. The role includes posting payments, bank deposits, and reporting to ensure timely revenue cycles.

The ideal candidate will have a high school diploma or GED, basic Excel skills, knowledge of medical billing, and a valid Texas driver’s license. Experience with credentialing and third-party payers is preferred.