Revenue-Cycle Billing & Credentialing Specialist

St Monica s Home; Lincoln (NE); On-site; USD 42,000 - 65,000; Full time

Job summary

St. Monica's Home is seeking a Billing Specialist to support the revenue cycle through accurate billing, AR follow-up, and credentialing activities. You will submit claims, monitor denials, and coordinate with payers and internal teams to resolve issues.

The ideal candidate has a high school diploma or equivalent, medical billing experience, and proficiency with electronic billing and claim submission. A Business degree and CPR certification are appreciated; 21+ age required.

Qualifications

• High School diploma or equivalent required; Business degree preferred.
• Previous medical billing experience required; behavioral health or substance use billing experience preferred.
• Experience with electronic billing and electronic claim submission required.
• Experience with Medicaid, private insurance, accounts receivable follow-up, and denied claims preferred.
• Must be at least 21 years of age.
• First Aid/CPR certification required or ability to obtain certification (training provided).
• Valid driver’s license and insurance required upon hire.

Responsibilities

• Manage billing and accounts receivable activities for Medicaid, private insurance, and other funding sources.
• Ensure claims and invoices are submitted accurately and within required timeframes.
• Monitor outstanding accounts receivable and follow up on unpaid or denied claims.
• Research billing discrepancies and denials; submit corrections as required.
• Maintain accurate billing, payment, and AR records and documentation.
• Identify recurring billing or reimbursement issues and communicate with leadership.
• Coordinate credentialing, enrollment, and contracting with Medicaid, MCOs, and payers.
• Assist in coordination with providers and internal leadership to support payer participation.

Education

High School diploma or equivalent

Business degree

Job description

St. Monica's Home is seeking a Billing Specialist to support the revenue cycle through accurate billing, AR follow-up, and credentialing activities. You will submit claims, monitor denials, and coordinate with payers and internal teams to resolve issues.

The ideal candidate has a high school diploma or equivalent, medical billing experience, and proficiency with electronic billing and claim submission. A Business degree and CPR certification are appreciated; 21+ age required.