Financial Services Specialist (12148)

Baltimore Crisis Response, Inc.; Baltimore (MD); On-site; USD 45,000 - 50,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

403(b) Retirement Plan

Generous PTO

Tuition Reimbursement & Professional |

Job summary

CarePoint Response, Inc. in Baltimore, MD is seeking a Billing Specialist to support financial operations, billing, and accounts receivable for behavioral health crisis services. You will handle third‑party and medical billing, process authorizations, reconcile payments, and prepare financial reports.

The role requires 2–4 years in healthcare billing, with strong attention to payer requirements and documentation. Full-time, onsite schedule with a 8:00AM–4:00PM shifts, Sunday–Thursday.

Qualifications

• 2–4 years of experience in healthcare billing or related financial/administrative role.
• Experience with medical claims processing and insurance authorization is preferred.

Responsibilities

• Process, verify, and maintain service authorizations within the EHR for behavioral health and related services.
• Monitor authorization status and documentation requirements to ensure reimbursement.
• Complete billing and authorization activities including submission and denial resolution.
• Collaborate with ASOs, Medicaid managed care organizations, and other payers to resolve billing issues.
• Track authorization trends and generate reports for management.

Skills

Healthcare billing

Accounts receivable

Billing software

EHR system experience

Education

High School Diploma or GED

Associate degree in Accounting or related field

Tools

EHR system

Billing software

Job description

Billing Specialist

Baltimore, MD

$45,000 - $50,000 Salaried

Full-time | Shifts: 8:00AM-4:00PM | Sunday- Thursday

About Us

CarePoint 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 Opportunity

We 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 Functions

• Process, 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.

Qualifications

Education & Credentials: High School Diploma or GED Equivalent, Required. Associate degree in Accounting or Related Field, Preferred

Experience: 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.