Billing Specialist - Behavioral Health / Clinical Setting

Rippling; Saint Paul (MN); On-site; USD 25,000 - 36,000; Full time

Benefits offered by this job

401(k) retirement plan with up to 3%

Comprehensive health benefits

Possibly one remote workday per week

Supportive team culture

Job summary

Norway Health Center in Saint Paul, MN is seeking a meticulous Billing Specialist/Administrator to oversee medical billing operations and support payroll processing. The role requires accuracy with insurance claims, patient billing, and confidential payroll data, reporting to the Clinic Administrator and leadership team.

Ideal candidates will have ICD-10/CPT/HCPCS knowledge, experience with EMR and HRIS systems, and strong Excel skills.

Qualifications

• High school diploma or equivalent required.
• Knowledge of ICD-10, CPT, HCPCS coding and medical billing regulations required.
• Working knowledge of Medicare, Medicaid, and commercial insurance policies.
• Understanding of basic accounting and payroll principles.
• Proficiency in Excel, Google Sheets, HRIS software, and EHR systems required.

Responsibilities

• Billing & Accounts Receivable: review and resolve claim errors, manage aging AR, handle refunds, and verify insurance information.
• Payroll Processing & Administrative Support: process biweekly payroll, review timesheets, document PTO/holidays/overtime, assist with onboarding payroll setup, year-end W-2 coordination.
• Compliance & Documentation: HIPAA compliance, maintain EMR documentation, generate financial reports with leadership.

Skills

ICD-10/CPT/HCPCS coding

Medicare/Medicaid knowledge

Excel

Google Sheets

HRIS software

EHR systems

Communication skills

Confidentiality

Detail-oriented

Strong organizational skills

Education

High school diploma or equivalent

Associate degree or higher in accounting, healthcare administration, or related field

Tools

EMR systems

HRIS software

Job description

Billing Specialist - Behavioral Health / Clinical Setting

About us:

We are a behavioral health clinic in the Twin Cities. Founded in 2020, our mission is to empower local community leaders (like yourself) to pioneer healthcare and community development to alleviate human suffering.

Our work is driven by these core values:

1. Mission First

3. Cultivate Comradery

5. Build a Legacy

We are seeking a highly organized and detail-oriented Billing Specialist / Administrator to oversee medical billing operations and support payroll processing for our behavioral health clinic. This role plays a critical part in maintaining financial accuracy, ensuring timely reimbursement, and supporting internal payroll operations.
The ideal candidate has experience in medical billing, understands payroll procedures, and is comfortable working with financial data, insurance providers, and internal leadership. This position works closely with the Clinic Administrator and leadership team to ensure operational and financial compliance.

Disclaimer:
This job description is intended to describe the general nature and level of work performed. It does not constitute a contract of employment. Norway Health Center reserves the right to modify the duties and responsibilities of this position at any time in accordance with organizational needs.

Essential Duties & Responsibilities but not limited to the following:
Billing & Accounts Receivable

• Review and resolve claim errors prior to submission
• Troubleshoot and resolve denied or rejected claims; follow up with insurance providers and resubmit claims as necessary
• Actively manage aging claims and accounts receivable
• Process credit refunds for patient and insurance overpayments
• Contact patients, families, and/or POAs to obtain accurate insurance information
• Resolve patient balances by setting up payment plans, collecting payments, and sending electronic billing communications
• Answer phone inquiries regarding billing, insurance, and claims
• Maintain accurate documentation within the electronic medical record (EMR) system
• Collaborate with leadership on financial reporting and aging analysis
• Ensure compliance with HIPAA and billing regulations

Payroll Processing & Administrative Support

• Process biweekly payroll accurately and timely
• Review timesheets for accuracy and completeness
• Ensure proper documentation of PTO, holidays, and overtime
• Maintain payroll records and employee compensation data
• Assist with onboarding payroll setup for new hires
• Support year-end payroll reporting (W-2 preparation coordination)
• Maintain confidentiality of employee payroll information
• Provide administrative support as needed
• Other duties as assigned

Qualifications
Required

• High school diploma or equivalent
• Knowledge of ICD-10, CPT, and HCPCS coding and medical billing regulations
• Working knowledge of Medicare, Medicaid, and commercial insurance policies
• Understanding of basic accounting and payroll principles
• Proficiency in Microsoft Excel, Google Sheets, HRIS software, and EHR systems
• Strong organizational, multitasking, and problem-solving skills
• Excellent verbal and written communication skills
• Ability to handle sensitive financial and employee information with confidentiality
• Detail-oriented with strong accuracy
• Must be able to commute reliably to Saint Paul, MN 55130 or plan to relocate

Preferred

• Associate degree or higher in accounting, healthcare administration, or a related field
• Minimum 2 years of medical billing experience in a provider setting
• Previous payroll processing experience
• Data entry and 10-key experience

• Location: Saint Paul, MN
• Schedule: Monday to Friday | 8-hour shifts | 8:00 AM start
• Pay: $18.00 - $26.00 per hour (based on experience)

Additional Benefits

• 401(k) retirement plan with up to 3% employer match
• Comprehensive health benefits (Medical, Dental and vision)
• Possibly one remote workday per week (based on performance and eligibility)
• Supportive and collaborative team culture

At-Will Employment Statement

Employment with Norway is on an at-will basis . This means that either the employee or the employer may terminate the employment relationship at any time, with or without cause, and with or without notice, subject to applicable law. Nothing in this job posting or subsequent employment documents shall be construed as creating a contract of employment or altering the at-will nature of employment.

Equal Employment Opportunity Statement

Norway is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and applicants. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, veteran status, or any other protected status under applicable federal or Minnesota law.

This position is eligible for remote or hybrid work within Minnesota. Applicants must reside in Minnesota or be willing to relocate prior to the start of employment. Minnesota residents working remotely must be willing and able to report to the office within two hours if requested. Remote work is considered a privilege and not a guarantee. Special circumstances may be considered and must be mutually agreed upon prior to an offer of employment.

Physical Requirements

• Ability to sit for extended periods while working at a computer.
• Frequent use of hands and fingers for typing, writing, and handling documents.
• Ability to communicate verbally and in writing with employees and leadership.
• Ability to occasionally stand, walk, and move throughout the clinic environment.
• May occasionally lift and/or move up to 15 pounds (files, office equipment, training materials).
• Ability to maintain focus and attention in a busy clinical office setting.

Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions.