Healthcare Billing Specialist

Clinica; Lafayette, Northern (CO, KY); On-site; USD 29,000 - 34,000; Full time

Benefits offered by this job

Health, dental, vision plans

Paid time off

Retirement plan with company match

Hybrid work model

Student loan assistance

Job summary

Clinica in Lafayette, CO is seeking a Billing Specialist to manage Medicaid billing and payment resolution for mental health services. You’ll handle claims from submission through denial management, posting payments, and reconciliation, using a trauma-informed approach.

This role reports to the AR Supervisor, operates in a hybrid setting with in-office presence twice a week, and requires three years of AR experience in Medicaid billing.

Qualifications

• Three years of recent accounts receivable experience in mental health Medicaid billing and collections.
• Experience with posted payments, refunds, and reconciliation.
• Familiarity with Medicaid, Medicare, managed care or traditional insurance and claim denials.

Responsibilities

• Perform end-to-end billing from claim submission to payment resolution and rebilling/appeals.
• Follow up on rejections, denials, and past-due accounts to maximize collections.
• Deposit daily cash receipts and post to General Ledger with accuracy.

Skills

Accounts receivable

Customer service

Medical billing

denials management

Education

High School diploma or equivalent

Tools

Billing software

Job description

• Pay or shift range: $21 USD to $25 USD
  The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Description

As our Billing Specialist, you will work with assigned payers and accounts from initiation of one-touch, clean claim submission through payment resolution, including billing, rebilling/appeals, account resolution, and denial management. You will ensure that our receivables are entered and processed while maintaining customer/client support in a trauma-informed approach.

You will report to the AR Supervisor. You will be in a hybrid setting, coming to the Lafayette, CO office twice per week.

Job Profile:

• Do you have experience complete billing process with Medicaid regarding mental and behavioral health, including substance use disorders (SUD), submitting claims to assigned payers within filing requirements?
• Are you accurate in posting payments?
• Do you have experience following-up on all rejections, denials, and past due accounts to maximize collections?
• Are you good at resolving problems regarding billing failures and re-bills for assigned payers and accounts?
• You will prepare and complete the deposit process daily from start to finish including copying, tracking, and maintaining accurate files and recording in the General Ledger.
• Have you completed worked with refunds, unclaimed funds, and escheatment process for assigned payers?
• In your experience, have you responded to requests for information from customers (internal and external), work with other staff, clients or external third-party payers to resolve problems, challenges, or systemic issues?

What's In It For You:

• Medical (Kaiser and Cigna options), dental, vision, FSA, HSA, life, disability, and retirement (with company match) plans
• Paid time off, paid holidays, and a comprehensive wellness program
• Commitment to Justice, Equity, Diversity, and Inclusion work
• Company contribution to student loans
• Engaged employer who believes you are an important factor in delivering our mission to the community with lots of opportunity to for dialogue with leaders
• Training, personal, and professional growth opportunities

What We Need:

• High School diploma or equivalent required.
• Three (3) years recent accounts receivable/customer service experience in mental healthcare Medicaid billing and collections to include computerized billing systems, cash receipts, private collections, Medicaid, Medicare, managed care and/or traditional insurance.

This position will be posted, at minimum, until 8/20/26 and may remain open until a sufficient candidate pool has been collected.

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.

As a condition of employment, you will be required to receive the annual influenza vaccine. Accommodations may be requested.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.