Claims Denials & Billing Specialist — Hospital

Northlake Behavioral Health System; Mandeville (LA); On-site; USD 38,000 - 55,000; Full time

Job summary

Northlake Behavioral Health System is seeking a Medical Billing Specialist to join our team. This role focuses on insurance billing, claims follow-up, denials resolution, appeals, payment review, and accounts receivable management for our inpatient behavioral health services in Louisiana.

The ideal candidate has 2-3 years of healthcare billing experience, preferably in hospital or behavioral health, and is proficient with Medicare/Medicaid billing, payer portals, and HIPAA compliance.

Qualifications

• 2-3 years healthcare medical billing experience required; hospital or behavioral health billing experience preferred.
• Experience with insurance claims follow up, denials, appeals, or accounts receivable preferred.
• Strong working knowledge of Medicare and Medicaid billing processes preferred.
• Experience working with payer portals and insurance companies preferred.
• Strong attention to detail and ability to identify and resolve billing issues.

Responsibilities

• Submit and review insurance claims for Medicare and Medicaid payers
• Monitor accounts receivable and follow up on unpaid and outstanding claims
• Research, resolve, and appeal denied or underpaid claims
• Identify payment discrepancies and work with payers to resolve issues
• Review insurance payments for accuracy and contractual compliance
• Bill secondary insurance as needed
• Verify insurance coverage for new admissions
• Assist with patient financial arrangements and account inquiries
• Maintain accurate billing and account records
• Follow HIPAA requirements and payer guidelines
• Perform other duties as assigned

Skills

Healthcare billing

Attention to detail

Communication

Customer service

Time management

Problem solving

Tools

Payer portals

Billing software

Job description

Northlake Behavioral Health System is seeking a Medical Billing Specialist to join our team. This role focuses on insurance billing, claims follow-up, denials resolution, appeals, payment review, and accounts receivable management for our inpatient behavioral health services in Louisiana.

The ideal candidate has 2-3 years of healthcare billing experience, preferably in hospital or behavioral health, and is proficient with Medicare/Medicaid billing, payer portals, and HIPAA compliance.