Insurance Billing Specialist

BPI Burrell Preferred Inc.; St. Louis (MO); Remote; USD 48,000 - 60,000; Full time

Benefits offered by this job

PTO

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Retirement Plan

Life Insurance

EAP

Mileage Reimbursement

Job summary

Brightli is seeking an Insurance Billing Specialist in Missouri to prepare and submit insurance claims, audit documentation, and monitor reimbursement trends in a healthcare setting. This role supports accurate billing, denials management, and timely communication with staff.

The position offers a full-time schedule with in-person or remote options for qualified candidates, with a focus on detailed financial processes and collaboration with the Financial Services team.

Qualifications

• High School Diploma or equivalent, coursework in business practices or accounting preferred.
• Minimum of three years of experience in bookkeeping, accounting support, healthcare administration, or related financial role.
• Minimum of two years of experience in insurance billing, medical billing, or healthcare revenue cycle operations.
• Knowledge of EHR and billing software systems.

Responsibilities

• Prepare, review, and submit insurance claims for private payers in accordance with established billing timelines.
• Audit claims and supporting documentation to ensure accurate coding, diagnoses, and charges before submission.
• Maintain accurate records related to insurance billing activity, claim status, denials, authorizations, payments, and reimbursement trends.
• Monitor payer reimbursement patterns and identify concerns related to contracted and out-of-network insurance payments.
• Investigate, follow up on, and resolve unpaid or denied claims.
• Prepare and submit claim appeals within required industry timeframes.
• Communicate claim and appeal statuses to program staff and stakeholders.
• Generate timely reports related to accounts receivable, claim status, collections activity, and reimbursement trends.
• Assist with monitoring outstanding receivables and provide recommendations regarding collections, write-offs, and reimbursements.
• Support process improvement initiatives, including billing system enhancements and database maintenance.
• Collaborate with billing leadership and internal teams to improve efficiency, accuracy, and financial outcomes.

Skills

Attention to detail

Problem-solving

Communication

Time management

Organization

Education

High School Diploma or equivalent

Coursework in business practices or accounting

Tools

Excel

Word

Outlook

Billing software

EHR systems

Job description

Job Description: Job Title: Insurance Billing Specialist

Location: St. Charles, MO OR Remote

Department: Financial Services

Schedule: Full-Time, In-Person or Remote

Hours: Monday-Friday | 8:00 a.m. - 5:00 p.m.

Remote Work Eligibility: This position has the option to be remote; however, candidates must reside in a state where Centerstone is currently authorized to employ remote workers. At this time, we are unable to consider applicants who reside in Alaska, California, Connecticut, Delaware, Maryland, Massachusetts, Montana, New Jersey, New York, Oregon, or Vermont.

Make an Impact Behind the Scenes of Patient Care As an Insurance Billing Specialist, you'll play a critical role in maintaining accurate billing practices, resolving claim issues, and helping maximize reimbursement for services provided. If you're detail-oriented, organized, and enjoy problem-solving in a healthcare environment, we'd love to hear from you.

Why Join Us?

Benefits & Perks

• 29 Days of Paid Time Off (PTO)
• HRSA Loan Repayment Eligibility (requirements apply)
• Comprehensive Medical, Dental, and Vision Insurance
• Competitive 403(b) Retirement Plan with up to 5% Company Match
• Company-Paid Basic Life Insurance
• Emergency Medical Leave Program
• Flexible Spending Accounts (Healthcare & Dependent Care)
• Employee Assistance Program (EAP)
• Employee Discount Program
• Health & Wellness Initiatives
• Mileage Reimbursement (when applicable)

What You’ll Do

• Prepare, review, and submit insurance claims for private payers in accordance with established billing timelines.
• Audit claims and supporting documentation to ensure accurate coding, diagnoses, and charges before submission.
• Maintain accurate records related to insurance billing activity, claim status, denials, authorizations, payments, and reimbursement trends.
• Monitor payer reimbursement patterns and identify concerns related to contracted and out-of-network insurance payments.
• Investigate, follow up on, and resolve unpaid or denied claims.
• Prepare and submit claim appeals within required industry timeframes.
• Communicate claim and appeal statuses to program staff and stakeholders.
• Generate timely reports related to accounts receivable, claim status, collections activity, and reimbursement trends.
• Assist with monitoring outstanding receivables and provide recommendations regarding collections, write-offs, and reimbursements.
• Support process improvement initiatives, including billing system enhancements and database maintenance.
• Collaborate with billing leadership and internal teams to improve efficiency, accuracy, and financial outcomes.

What We’re Looking For

• Strong understanding of medical billing, collections, and insurance reimbursement processes.
• Working knowledge of medical coding principles and third-party payer requirements.
• Excellent attention to detail and ability to identify billing discrepancies.
• Strong problem-solving and analytical skills.
• Outstanding communication and customer service abilities.
• Accurate 10-key and alphanumeric data entry skills.
• Proficiency in Microsoft Office applications, including Excel, Word, Outlook, and database systems.
• Ability to manage multiple priorities while meeting deadlines in a fast-paced environment.

Education & Experience

• High School Diploma or equivalent.
• Coursework in business practices, accounting, or related areas preferred.
• Minimum of three (3) years of experience in bookkeeping, accounting support, healthcare administration, or a related financial role.
• Minimum of two (2) years of experience in insurance billing, medical billing, or healthcare revenue cycle operations.
• Preferred Experience working with behavioral health or healthcare billing systems.
• Knowledge of insurance authorization, claims appeals, and revenue cycle management processes.
• Familiarity with electronic health record (EHR) and billing software systems.

Position Perks & Benefits

• Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
• Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
• Top-notch training: initial, ongoing, comprehensive, and supportive
• Career mobility: advancement opportunities/promoting from within
• Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness

Brightli Snapshot

• 200 locations
• 4 states
• 19 subsidiaries and/or affiliates
• 5k+ employees

About Brightli

We are an Equal Employment Opportunity Employer. Brightli is a Smoke and Tobacco Free Workplace.

Brightli is on a mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance use care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. We are doing this by forming a new behavioral health organization under new model. Under one parent company, multiple organizations are able to collaborate, share resources and system supports, increase recruiting and retention efforts, increase access to specialized care, and meet the growing demand for behavioral and addiction recovery care. Brightli’s top-line subsidiaries include Burrell Behavioral Health (Burrell), Preferred Family Healthcare (PFH), Southeast Missouri Behavioral Health (SEMO), Firefly, Adult and Child Health, and Places for People. While these organizations operate independently and are governed by separate board of directors, their operations and services benefit from this model. Alone, organizations may be able to navigate the current tumultuous healthcare environment, but we believe that together we can do so much more than survive. Our communities need us now more than ever, and by working together we are ready to answer their call for years to come.