Billing Specialist for Medical Billing

Consultex Practice Management, Inc.; United States; Remote; USD 30,000 - 37,000; Full time

Benefits offered by this job

Remote work

Benefits

Paid time off

Job summary

Consultex Practice Management (CPM) is seeking a Billing Specialist to manage client accounts through the full claim lifecycle, from charge entry to payment posting and follow-up. The role supports Medicaid and commercial payers and emphasizes accuracy and timely follow-up.

You will work with account managers, credentialing, and utilization review teams, learning from experienced billers. A remote option is available, with focus on detail and payer communication.

Qualifications

• 1–2 years of medical billing experience, ideally in behavioral health or substance use treatment.
• Working knowledge of CPT and HCPCS codes, ICD-10 diagnosis codes, and CMS-1500 and UB-04 claim forms.
• Understanding of EOBs, ERAs, and the denial and appeal process.
• Comfort learning new billing and EHR platforms quickly.
• Strong attention to detail and a habit of following a claim through to resolution.

Responsibilities

• Enter charges and submit clean claims to Medicaid and commercial payers.
• Post payments and adjustments and reconcile them against remittances and bank deposits.
• Work denials and rejections, correct claims, and resubmit before payer deadlines.
• Follow up on unpaid and underpaid claims by portal, phone, and written appeal.
• Review your accounts' aging reports each week and keep balances moving.
• Verify that authorizations, eligibility, and credentialing are in place before claims go out.
• Document every action in the billing system so any teammate can pick up the account.
• Flag payer trends, coding problems, and process gaps to your account manager.
• Meet productivity and accuracy targets set for your accounts.

Skills

Medical billing

CPT/HCPCS coding

ICD-10 codes

Payer communication

Detail-oriented

Education

CPB/CMRS certification

Tools

Billing software

EHR platforms

Remittance portals

Job description

Company: Consultex Practice Management (CPM) Location: [Remote / Roseville, CA] Employment type: Full-time Pay: $22 to $27 per hour, based on experience

About CPM

CPM is a revenue cycle management firm built for behavioral health. We take on billing, credentialing, verification of benefits, utilization review, and reporting for substance use disorder and mental health treatment providers, from outpatient programs to residential care. Our clients count on us to get paid correctly and on time so they can focus on their patients. We work with Medicaid and commercial payers across many states, and our team keeps growing because our clients keep winning.

The role

As a Billing Specialist, you will be responsible for a set of client accounts and the full claim lifecycle on each one, from charge entry through payment posting and follow-up. You will keep claims clean, catch denials early, and chase every unpaid claim until it is resolved. You will learn from experienced billers and work every day with your account manager, our credentialing team, and our utilization review team.

This role is a strong fit if you like detail work, enjoy solving puzzles that payers create, and want to build a career in a specialized corner of healthcare billing.

What you will do

• Enter charges and submit clean claims to Medicaid and commercial payers
• Post payments and adjustments and reconcile them against remittances and bank deposits
• Work denials and rejections, correct claims, and resubmit before payer deadlines
• Follow up on unpaid and underpaid claims by portal, phone, and written appeal
• Review your accounts' aging reports each week and keep balances moving
• Verify that authorizations, eligibility, and credentialing are in place before claims go out
• Document every action in the billing system so any teammate can pick up the account
• Flag payer trends, coding problems, and process gaps to your account manager
• Meet productivity and accuracy targets set for your accounts

What you bring

• 1 to 2 years of medical billing experience, ideally in behavioral health or substance use treatment
• Working knowledge of CPT and HCPCS codes, ICD-10 diagnosis codes, and CMS-1500 and UB-04 claim forms
• Understanding of EOBs, ERAs, and the denial and appeal process
• Comfort learning new billing and EHR platforms quickly
• Strong attention to detail and a habit of following a claim through to resolution
• Clear written communication and professional phone skills with payers
• Reliable internet and a quiet, dedicated workspace if the role is remote
• Experience billing Medicaid and commercial insurance for behavioral health services
• Familiarity with behavioral health EHR and billing systems
• Experience with out-of-network billing, authorizations, or utilization review
• Medical billing certification such as CPB or CMRS

What success looks like

• In your first 30 days, you learn our workflows and take over your first accounts with support
• In 90 days, you work your accounts independently and hit accuracy and follow-up targets
• In 6 months, you are a go-to teammate on at least one payer and ready to grow into a senior role

Why CPM

• Specialized work in a niche where skilled billers are in demand
• A team that promotes from within and invests in training
• A collaborative culture where you are never left stuck on a hard claim
• Benefits, PTO, and remote work