Financial Services Specialist

Paycom - ATS; Baltimore (MD); On-site; USD 45,000 - 50,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

403(b) Plan

PTO

Tuition Reimbursement

Professional Development

Job summary

CarePoint Response, Inc. is seeking a Billing Specialist in Baltimore, MD to support financial operations through billing, authorizations, and AR.

You will process authorizations in the EHR, monitor status and compliance, and collaborate with payers to ensure timely reimbursement. Ideal candidates have 2–4 years in healthcare billing, with a solid understanding of Medicaid/ASO workflows and strong attention to detail in audits and reporting.

Qualifications

• High School Diploma or GED required or equivalent.
• Associate degree in Accounting or related field preferred.
• 2–4 years in healthcare billing, medical claims processing, or AR a plus.

Responsibilities

• Process, obtain, verify, extend, and maintain service authorizations in the EHR for behavioral health services.
• Monitor authorization status, utilization limits, expiration dates, and documentation requirements.
• Complete billing and authorization activities for inpatient residential crisis care services.
• Process billing and authorization for mobile crisis services, verify payer eligibility, and follow up on denials.
• Serve as liaison with ASOs, Medicaid managed care, and other payers to resolve authorization discrepancies.
• Conduct audits of authorizations, billing records, and EHR documentation for compliance.
• Collaborate with clinical, program, and quality management staff to obtain required documentation.
• Research, document, and resolve authorization-related compliance issues and communicate corrective actions.
• Track authorization trends, denied authorizations, and reimbursement variances.
• Maintain detailed records of authorization requests, approvals, denials, appeals, and payer communications.
• Assist with authorization appeals and reconsiderations.

Skills

Healthcare billing

Accounts receivable

Billing communication

Payer liaison

Education

High School Diploma or GED

Associate degree in Accounting

Tools

EHR system

Billing software

Job description

Billing Specialist Baltimore, MD $45,000 - $50,000 Salaried Full-time| Shifts: 8:00AM-4:00PM| Sunday- ThirsdayAbout UsCarePoint Response, Inc. (CPR) is a nonprofit organization providing behavioral health crisis response services in Baltimore, including telephone crisis support, mobile crisis response teams, residential crisis services, and medical detoxification services. Since 1992, CPR has provided behavioral health crisis intervention and substance use treatment services for individuals experiencing mental health or substance use crises in Baltimore.The OpportunityWe are seeking a Financial Services Specialist to support CPR’s financial operations through accounting, billing, accounts receivable, and administrative functions. In this role, you will assist with third-party, residential, and medical billing; process service authorizations and payments; review and reconcile accounts; research claim denials; and prepare invoices and financial reports. You will collaborate with the financial team and other departments to maintain accurate records, ensure timely processing of payments and reimbursements, and support the organization’s financial and administrative operations.Essential FunctionsProcess, obtain, verify, extend, and maintain service authorizations within the electronic health record (EHR) system for behavioral health, crisis residential, inpatient residential crisis care, mobile crisis, and other covered services.Monitor authorization status, utilization limits, expiration dates, and documentation requirements to ensure uninterrupted reimbursement and continuity of care.Complete billing and authorization activities related to inpatient residential crisis care services, including authorization requests, continued stay reviews, discharge reconciliation, claim submission support, and resolution of authorization-related billing denials.Process billing and authorization functions for mobile crisis services, including verification of payer eligibility, authorization requirements, encounter review, claim submission, and follow-up on denied or pended claims.Serve as a liaison with Administrative Service Organizations (ASOs), Medicaid managed care organizations, and other payers to resolve authorization discrepancies, billing issues, compliance concerns, claim denials, and reimbursement delays.Conduct routine audits of authorizations, billing records, and EHR documentation to ensure compliance with payer regulations, contractual requirements, and organizational policies.Collaborate with clinical, program, and quality management staff to obtain required documentation supporting authorizations, medical necessity determinations, and successful claim adjudication.Research, document, and resolve authorization-related compliance issues and communicate corrective actions to appropriate stakeholders.Track and report authorization trends, denied authorizations, billing exceptions, and reimbursement variances to management.Maintain detailed records of authorization requests, approvals, denials, appeals, and payer communications.Assist with authorization appeals and reconsideration requests by compiling supporting documentation and coordinating with clinical staff and payers.QualificationsQualificationsEducation & Credentials: High School Diploma or GED Equivalent, Required. Associate degree in Accounting or Related Field, PreferredExperience: 2–4 years of experience in healthcare billing, medical claims processing, insurance authorization, accounts receivable, or a related financial/administrative role.Why Join CarePoint Response Make a direct impact in clients’ recovery journey. Medical, Dental, and Vision Insurance. 403(b) Retirement Plan. Generous PTO – Vacation, Sick, Personal, and Holidays. Tuition Reimbursement & Professional Development Support.