Provider Relations and Billing Specialist

McLaughlin Young; Charlotte (NC); Hybrid; USD 42,000 - 60,000; Full time

Benefits offered by this job

401K retirement plan with matching

Discounts on products and services

Paid time off

Employee Assistance Program

Job summary

MYgroup is seeking a Provider Relations and Billing Specialist in Charlotte, NC. The role processes billing from affiliate providers and maintains HIPAA-compliant communication with providers.

You will also support front desk coverage, scheduling clients, and day-to-day office operations. Ideal candidates have at least 2 years of customer service experience, strong Microsoft Office skills, and the ability to learn EAP software.

Qualifications

• High School Diploma or equivalent.
• At least 2 years of experience in customer service activities (phone-based).
• Office management skills (organizing client data, filing, effective processes).
• Working knowledge of Microsoft Office and ability to learn EAP software.

Responsibilities

• Process reimbursement requests and support daily operations of provider relations and billing.
• Provide front desk coverage on a multi-line telephone console and schedule clients.
• Establish and maintain relationships with prospective and existing clients and providers.
• Support clinical operations (file organization, manage supplies).
• Assist with data entry for different departments within MYgroup.
• Deliver professional customer service in person, over the phone, and via email.
• Comply with HIPAA procedures.
• Support daily operations of MYgroup.

Skills

Phone etiquette

Email communication

Time management

Team player

Emotional intelligence

Interpersonal skills

HIPAA knowledge

Flexibility

Microsoft Office

Adobe Acrobat Pro

Education

High School Diploma or equivalent

Tools

Microsoft Office

Adobe Acrobat Pro

Job description

The MYgroup Provider Relations and Billing Specialist works closely with the Provider Relations Manager and the CFO by processing billing from MYgroup affiliate providers. The MYgroup Provider Relations and Billing Specialist is responsible for maintaining regular communication with affiliate providers regarding various issues (e.g., referral portal, billing, and recredentialing). The MYgroup Provider Relations and Billing Specialist assists with managing the day-to-day front office operations, scheduling clients, and responding to requests for mental health services in a caring and HIPAA-compliant manner. The MYgroup Provider Relations and Billing Specialist handles frequent interruptions and pivots rapidly between multiple tasks. The MYgroup Provider Relations and Billing Specialist works well under pressure, maintains professional courtesy, de-escalates tension, and follows policy while using creativity to solve problems in the moment.

Essential Responsibilities:

• Support the daily operations of MYgroup provider relations and billing departments (e.g., processing reimbursement request)
• Assists with providing front desk coverage on multi-line telephone console: transferring calls, taking messages, scheduling clients
• Establish and maintain relationships with prospective and existing clients and providers
• Support clinical operations (e.g., file organization, manage supplies)
• Assist with data entry upon request for different departments within MYgroup
• Deliver professional customer service in person, over the phone, and via email
• Comply with HIPAA procedures
• Support the daily operations of MYgroup

Additional Duties and Responsibilities:

• Perform other duties as required.

Skills:

• Professional phone presentation
• Professional email communication
• Self-motivated and effective use of time management
• Comfortable working with a team
• Possess high emotional intelligence to sense the needs of clients and clinicians
• Strong communications, interpersonal and negotiating skills
• Knowledgeable about HIPAA and mental health services
• Demonstrates flexibility as processes change to accommodate the needs of clients and staff
• Proficient with Microsoft Office Suite and Adobe Acrobat Pro

Qualification:

Required

• High School Diploma or equivalent
• At least 2 years of experience in customer service activities, such as, but not limited to, answering phones, transferring calls, taking messages, and phone-based customer service
• Office management skills, such as, but not limited to, organizing client data, filing client information, providing excellent communication, and developing efficient and effective processes (e.g., data entry and interpretation, client file management)
• Working knowledge of Microsoft Office and ability to learn EAP software

Preferred

• Knowledgeable about or highly familiar with HIPAA and mental health services
• Relevant experience in mental health practice or medical office setting encouraged

Comfortable working with a team

Able to multi-task and stay organized under stressful situations

Possess high emotional intelligence to sense the needs of clients and clinicians

Demonstrate flexibility as processes change to accommodate the needs of clients and staff

Schedule:

• Full Time- 40 Hours per week
• Monday- Friday- 8AM- 5PM to include some evening hours (e.g., Tuesday 10am-7pm and Wednesday 9am-6pm)

Benefits

• 401K retirement plan with matching contributions
• Discounts on products and services
• Paid time off for holidays, vacation, and sick leave
• Employee Assistance Program

Location:

Charlotte, NC- hybrid schedule with some in-office requirements

MYgroup is a full-service human capital consulting firm that enables people and organizations to thrive. Since 1987, we’ve partnered with organizations to provide programs and services that build strong cultures, improve retention, and ensure that every person can achieve their full potential in life and at work. A Charlotte Business Journal Best Places to Work recipient, MYgroup’s culture is healthy, supportive, and friendly. We are real people supporting real people. If you want to make a positive difference in the lives of others and value a healthy workplace, we encourage you to apply.

MYgroup is an equal opportunity employer. We are committed to nurturing a diverse, inclusive corporate culture. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, disability, age, or veteran status.