Billing Specialist

Bournewood group; Boynton Beach (FL); On-site; USD 42,000 - 56,000; Full time

Job summary

Bournewood Hospital is seeking a Billing Specialist in Boynton Beach, FL. The role focuses on entering patient demographics, submitting claims to insurers, and verifying policy details before billing.

You will coordinate with the Utilization Review team and maintain HIPAA-compliant practices while handling confidential information. The position requires 2–3 years in Substance Abuse/Mental Health billing, strong Excel/EMR skills, and accuracy in a fast-paced environment.

Qualifications

• High School Diploma or GED required; bachelor's degree preferred.

Responsibilities

• Enter patient demographics into billing software and submit claims to insurance companies.
• Cross-check in Medical EMR to ensure authorization is on file prior to submitting claims.
• Verify client policy active via portal during billing, file corrected claims, and fix rejected claims.
• Update action list for UR issues while billing and support Utilization Review team.

Skills

Communication skills

Work independently

Multitasking

Confidential information handling

Fast-paced environment

Customer facing

Attention to detail

Education

High school diploma or GED

Bachelor's degree preferred

Tools

Word

Excel

PowerPoint

Outlook

Electronic Medical Records

Billing Systems

KIPU

Collaborate MDS

Job description

Billing Specialist# Billing SpecialistNeuroBehavioral Hospitals - Boynton Beach, FL 33426## OverviewPosition TypeFull Time## DescriptionBilling Specialist JOB CATEGORY |Administrative POSITION TYPE |Full-Time FLSA | Non-Exempt RISK EXPOSURE| Low IMMEDIATE SUPERVISOR |Director of BillingPOSITION FUNCTION/OVERVIEW: Enter all patient demographics into the billing software. Entering and submitting Billable claims to insurance companies, cross checking in Medical EMR to ensure authorization is on file prior to submitting claims. Verifying client policy is active via portal during the billing process before submitting claims. Filing corrected claims and fixing all rejected claims. Updating Action list for all UR issues while billing.PRIMARY DUTIES/RESPONSIBILITIES: • Promote the mission, values, and vision of the organization. • Provide excellent customer service for clients; practices confidentiality and privacy protocols in accordance with HIPAA requirements. • Research plans and provides the Utilization Review team with information about pre-certification, and policy details. • Work with Utilization Review Specialists to achieve the highest levels of care for the client. • Ensure all required insurance standards and regulations are met. • Performs other duties as required.## QualificationsQUALIFICATIONS REQUIRED: • High School Diploma or GED equivalent with combination of education and work experience, required; bachelor's degree, preferred. • Minimum of two (3) years’ experience in Substance Abuse/ Mental Health Medical Billing and Coding • Knowledge of Third-Party payers, billing requirements for in network and out of network providers • Knowledgeable in the field of Substance Abuse treatment. • Relevant computer software and hardware applications proficiency – Word, Excel, PowerPoint, Outlook, Electronic Medical Records, Billing Systems and/or other scheduling applications; KIPU preferred, Collaborate MDSKILLS: • Strong communication skills, both written and verbal. • Ability to work independently, as well as part of a team. • Manage multiple tasks and set priorities. • Ability to handle highly sensitive and confidential information. • Ability to work in a fast-paced, high-energy environment. • Excellent interpersonal and customer-facing skills. • Ability to work accurately, with attention to detail.This list of essential functions is not intended to be exhaustive. Bournewood Hospital, MA reserves the right to revise this job description as needed to comply with actual job requirements. PHYSICAL REQUIREMENTS: (N=needed P=preferred) Sitting N Standing N Walking N Lifting N Carrying N Kneeling N Pushing/Pulling N Bending/Stooping N Climbing P Reaching N Crawling/Crouching n/a Repetitive Motions P Transporting n/a Other ( )