Medical Billing & Reimbursement Specialist - Behavioral Health

Swank Early Skills Development; Lancaster (Lancaster County); On-site; USD 40,000 - 70,000; Full time

Job summary

Join a dedicated team at a behavioral health provider specializing in services for children. This full-time role as a Medical Billing & Reimbursement Specialist offers a chance to make a significant impact in the lives of young clients. You will be responsible for verifying insurance eligibility, submitting claims, and ensuring timely reimbursements. With a supportive company culture and competitive benefits, including paid time off and performance bonuses, this is an excellent opportunity for motivated individuals looking to grow in the health care field. If you have a passion for helping others and possess the necessary experience, we invite you to apply and become part of our mission.

Benefits

20 Days Paid Time Off

10 Paid Holidays

Performance-based Bonuses

Simple IRA Retirement Plan

Medical, Dental, & Vision Insurances

Positive Company Culture

Flexible Start/End Times

Qualifications

• 3+ years of experience in medical billing, preferably in Behavioral Health.
• Ability to process financial information quickly and accurately.

Responsibilities

• Verify insurance eligibility and benefits for clients.
• Submit and follow up on service authorization requests.
• Handle reimbursement claims for client services.

Skills

Medical Billing

Reimbursement Processes

Excel

QuickBooks

Insurance Verification

Education

High School Diploma/GED

Tools

PerformCare

Medical Assistance (MA)

Job description

Medical Billing & Reimbursement Specialist - Behavioral Health

Seeking Experienced, Motivated Full-Time Medical Billing & Reimbursement Specialist to join our local team here in Lancaster.

We are a Behavioral Health Provider Specializing in IBHS-ABA Services for Children in Early Childhood through Elementary School in Lancaster.

Responsibilities:

• Initial Insurance Eligibility & Benefits Verifications
• Weekly EVS checks on all clients to ensure continued coverage
• Submitting and Following Up On service Authorization Requests
• Submitting Reimbursement Claims for client services for both primary and secondary insurances
• Following up on insurance company requests for corrections, rejections, and denials and consistently following them through to full reimbursement for client services that have been provided
• Pulling remittances, tracking, and revenue reporting, including Accounts Receivable and any reimbursement issues with which assistance is needed

Experience: Experience working with PerformCare - Medical Assistance, IBHS, and/or ABA highly desired.

Compensation & Benefits:

• Competitive Hourly pay rate - negotiated based on demonstrated experience and training
• Full-Time 40 hour per week position with flexibility in regards to daily start/end times
• 20 Days Paid Time Off first year (accrual based for time worked) increased after successful 1st year Performance Evaluation
• 10 Paid Holidays Upon Hire – 9 company holidays, 1 floating day of your choice
• Performance-based Bonuses and Retention Bonuses
• Simple IRA Retirement Plan Option Upon Hire with end of the year Employer Matching
• Medical, Dental, & Vision Insurances Available after Successful Completion of 90 Day Probationary Period
• Small Company Positive Culture with fun team activities and events

Minimum Qualifications Desired:

• At least three (3) years of continuous and proven experience as a medical billing specialist, preferably in a Behavioral Health environment
• Experience with medical assistance (MA) billing
• Ability to process financial information quickly and accurately
• Skilled with Excel & QuickBooks

Minimum Requirement as Required by our State IBHS License & MA Regulations:

• Can produce “clear” PA required clearances (PA Child Abuse Clearance, PA State Criminal Check, FBI Fingerprint Clearance) valid within 1 year of hire date
• No History of Fraud, Waste, or Abuse as reported in state data-bases
• Can pass additional background clearance checks as required by the state
• Proof of Eligibility to work in the U.S.
• High School Diploma/GED required

Come Join Our Team! Swank Early Skills Development LLC is an Equal Employment Opportunity/Affirmative Action Employer and does not discriminate on the basis of race/color, religion, sex, sexual orientation, gender identity, national origin, medical history, protected veteran status, disability or any other legally protected status. This role is non-exempt.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Health Care Provider
• Industries: Financial Services, Software Development, and Technology, Information and Internet