Billing Specialist

Abria Recovery; Burnsville (MN); On-site; USD 45,000 - 65,000; Full time

Job summary

Abria Recovery is seeking a detail‑oriented Billing Specialist to support our outpatient substance use disorder treatment program. This fully remote role focuses on insurance verification, claim submission, posting, and AR management using Procentive.

Two years of medical billing experience and knowledge of MHCP, commercial insurance, and DAANES reporting are preferred. You will collaborate across teams to ensure compliant, accurate billing workflows.

Qualifications

• High school diploma or equivalent required; associate degree preferred.
• Minimum of two years of medical billing experience, preferably in behavioral health or SUD.
• Experience with Procentive or similar EHR/billing systems preferred.
• Knowledge of MHCP, commercial insurance billing, and DAANES reporting preferred.

Responsibilities

• Verify insurance eligibility and benefits prior to the start of services.
• Submit electronic insurance claims and client invoices accurately and timely through Procentive.
• Audit claims prior to submission to ensure accurate coding, documentation, and payer requirements are met.
• Follow up on rejected, denied, and unpaid claims to secure timely reimbursement.
• Research claim denials, make corrections, and submit appeals or corrected claims as appropriate.
• Accurately post insurance payments, client payments, contractual adjustments, and payment corrections.
• Reconcile EOBs and ERAs.
• Monitor accounts receivable and follow up on outstanding balances.
• Complete required DAANES data entry accurately and within required timeframes.
• Monitor payer updates and maintain current payer information within the billing system.
• Respond professionally to client and payer inquiries regarding billing, insurance coverage, invoices, and payment questions.
• Collaborate with admissions, clinical, and administrative staff to resolve billing and documentation issues.
• Conduct daily claim audits to ensure billing accuracy and compliance.
• Maintain HIPAA compliance and DHS regulations.

Skills

Attention to detail

Organizational skills

Problem solving

Communication skills

Multitasking

Education

Associate's degree in Healthcare Administration / Business / Accounting

High school diploma or equivalent

Tools

Procentive EHR

Job description

Abria Recovery is seeking a detail-oriented Billing Specialist to support the billing operations for our outpatient substance use disorder treatment program (245G). This hands-on position is responsible for insurance verification, claim submission, payment posting, denial follow-up, accounts receivable and client billing. The Billing Specialist will utilize the Procentive electronic health record while ensuring compliance with Minnesota DHS regulations, payer requirements, and organizational policies.

Essential Responsibilities

• Verify insurance eligibility and benefits prior to the start of services.
• Submit electronic insurance claims and client invoices accurately and timely through Procentive.
• Audit claims prior to submission to ensure accurate coding, documentation, and payer requirements are met.
• Follow up on rejected, denied, and unpaid claims to secure timely reimbursement.
• Research claim denials, make corrections, and submit appeals or corrected claims as appropriate.
• Accurately post insurance payments, client payments, contractual adjustments, and payment corrections.
• Reconcile Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs).
• Monitor accounts receivable and follow up on outstanding insurance and client balances.
• Complete required DAANES data entry accurately and within required timeframes.
• Monitor payer updates and maintain current payer information within the billing system.
• Respond professionally to client and payer inquiries regarding billing, insurance coverage, invoices, and payment questions.
• Collaborate with admissions, clinical, and administrative staff to resolve billing and documentation issues.
• Conduct daily claim audits to ensure billing accuracy and compliance.
• Maintain compliance with HIPAA, Minnesota DHS regulations, and organizational policies.
• Identify opportunities to improve billing accuracy, reduce denials, and enhance billing workflows.

Qualifications

• High school diploma or equivalent required; Associate's degree in Healthcare Administration, Business, Accounting, or a related field preferred.
• Minimum of two years of medical billing experience, preferably in behavioral health or substance use disorder treatment.
• Experience with Procentive or similar electronic health record/billing systems preferred.
• Knowledge of Minnesota Medicaid (MHCP), commercial insurance billing, and DAANES reporting preferred.
• Strong attention to detail, organizational skills, and problem-solving abilities.
• Excellent communication and customer service skills.
• Ability to work independently while managing multiple priorities and deadlines.

Work Location

This is a fully remote position. Employees must maintain a reliable high-speed internet connection and a private, HIPAA-compliant workspace. Attendance at one mandatory Microsoft Teams meeting each month is required.

Flexible work from home options available.