Billing Specialist

Mountainside Treatment Center; Oregon; Hybrid; USD 30,000 - 33,000; Full time

Benefits offered by this job

Comprehensive benefit package

Paid Time Off after 1 year

401(k) with employer matching

Wellness reimbursement

Job summary

Mountainside Treatment Center is seeking a Medical Billing Specialist for a remote role. You will verify insurance eligibility for behavioral health services and identify coverage requirements before services begin to ensure seamless client access.

Use payer portals to confirm deductibles, copays, and authorizations; communicate patient responsibility and coverage concerns to the appropriate teams, and follow up on discrepancies within established timelines.

Qualifications

• High school diploma or equivalent required.
• 1 year of insurance verification, patient access, or medical billing experience preferred.
• Knowledge of eligibility, benefits, and patient responsibility.

Responsibilities

• Verify insurance eligibility and behavioral health or substance use disorder benefits before services are provided.
• Use payer portals and calls to confirm deductibles, copayments, coinsurance, out-of-pocket maximums, network status, and authorization requirements.
• Document verification details accurately and communicate benefits, estimated patient responsibility, and coverage concerns to relevant teams.
• Follow up on discrepancies and coverage changes within timelines; escalate barriers promptly.
• Adhere to HIPAA and compliance guidelines and support revenue cycle functions as needed.

Skills

Insurance verification

Payer portals

Detail orientation

Communication

HIPAA compliance

Education

High school diploma or equivalent

Tools

Payer portals

Job description

Description Medical Billing Specialist Remote Position - Must Reside in CT, NY, NJ, or MA

About the Position:

Behind every client's access to care is a team working to make the process as clear and seamless as possible. As a Medical Billing Specialist on our Client Access team, you'll play an important role in that process by verifying insurance benefits, identifying coverage requirements or barriers, and helping ensure accurate information is available before services begin. We're looking for someone who brings strong attention to detail, follow-through, and a client-focused approach to every verification.

Schedule: Monday - Friday: 8:30 am - 5:00 pm

Your Role:

• Verify insurance eligibility and behavioral health or substance use disorder benefits before services are provided
• Use payer portals and phone calls to confirm deductibles, copayments, coinsurance, out-of-pocket maximums, network status, limitations, and authorization requirements
• Document verification details accurately and communicate benefits, estimated patient responsibility, and coverage concerns to appropriate teams
• Follow up on discrepancies, coverage changes, and pending verifications within established timelines
• Escalate coverage barriers promptly and maintain organized supporting documentation
• Follow HIPAA and compliance guidelines and support revenue cycle functions as needed

Qualifications:

• High school diploma or equivalent required
• At least 1 year of experience in insurance verification, patient access, and/or medical billing
• Knowledge of eligibility, benefits, and patient responsibility
• Strong attention to detail, organization, communication, and follow-through

Compensation:

The base rate of pay for this position is $22.00 to $24.00 per hour. Actual pay is determined based on a number of job-related factors including skills, education, training, credentials, experience, scope and complexity of role responsibilities, geographic location, performance, and working conditions.

Benefits:

• Comprehensive benefit package
• Paid Time Off (which increases after 1 year with Mountainside)
• Paid holidays including a Multicultural Holiday
• 401(k) with employer matching
• Monthly $75.00 wellness reimbursement. Our Wellness Reimbursement benefit is meant to encourage employees to engage in productive self-care to avoid burnout and compassion fatigue.

About Mountainside:

Mountainside Treatment Center is a dynamic, fast-paced and growing recovery facility that values innovation and an obsession with providing Best in Class service to our Clients. Founded in 1998, we are a leading behavioral healthcare provider dedicated to treating alcohol dependency and drug addiction. Accredited by The Joint Commission and CARF for its high standards of care, Mountainside seeks out passionate and talented individuals to join its staff. We believe that every employee, regardless of position, plays a vital role in our success. Here at Mountainside Treatment Center, we strongly prefer all employees to be fully vaccinated for Covid-19 (including regularly scheduled boosters) and the Flu as recommended by the CDC.

Mountainside is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities