Billing Specialist

Abriarecovery; Northern (KY); Hybrid; USD 50,000 - 75,000; Full time

Benefits offered by this job

Fully remote work

Job summary

Abira Recovery is hiring a Billing Specialist to support billing operations for outpatient SUD treatment. This remote role involves insurance verification, claim submission, and AR management using Procentive EHR.

Candidates should have 2+ years of medical billing experience, knowledge of MHCP/DAANES, and strong attention to detail and communication skills. A related degree is preferred; remote work with flexible scheduling is offered.

Qualifications

• Two years medical billing experience, preferably behavioral health/substance use disorder treatment.
• Associate's degree in a related field preferred; high school diploma required as baseline.
• Experience with Procentive or similar EHR/billing systems preferred.
• Knowledge of MHCP, commercial insurance billing, and DAANES reporting is a plus.

Responsibilities

• Verify insurance eligibility and benefits prior to services.
• Submit electronic claims and client invoices via Procentive.
• Audit claims for coding and payer requirements before submission.
• Follow up on denied or unpaid claims to secure reimbursement.
• Post insurance payments, client payments, and adjustments accurately.
• Reconcile EOBs and ERAs.
• Monitor accounts receivable and follow up on balances.
• Complete required DAANES data entry within deadlines.
• Maintain current payer information in the billing system.
• Respond to billing inquiries professionally and promptly.

Skills

Attention to detail

Organizational skills

Problem solving

Communication skills

Independent work

Education

Associate's degree in Healthcare Administration, Business, Accounting, or related field

High school diploma or equivalent

Tools

Procentive EHR

Job description

Abira 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.