Senior Medical Billing Leader for Behavioral Health

South Point Counseling Services, LLC; Utah; On-site; USD 58,000 - 62,000; Full time

Benefits offered by this job

Health insurance

Dental & vision

Paid time off

401(k) retirement plan

Job summary

South Point Counseling Services, LLC in Utah is seeking a Senior Medical Billing Specialist to lead billing operations, supervise staff, and ensure accurate reimbursement for behavioral health services.

Candidates should have at least five years of medical billing experience, familiarity with Medicaid/Medicare, CPT codes for behavioral health, and proficiency with TherapyNotes, Optum ProviderConnect NX, and PRISM.

Qualifications

• Minimum of 5 years of medical billing experience.
• Strong knowledge of insurance claims processing, denials, appeals, payment posting, and accounts receivable.
• Experience with commercial insurance, Medicaid, and Medicare.

Responsibilities

• Submit electronic and paper insurance claims and post payments from ERA reports.
• Monitor claim submissions, rejections, denials, and payment discrepancies.
• Investigate and resolve complex billing issues and follow up on outstanding claims.

Skills

Medical billing

Insurance claims

Denials & appeals

Accounts receivable

Organization

Customer service

Attention to detail

Mentoring

Education

CPB or CPC certification

Tools

TherapyNotes

Optum ProviderConnect NX

Utah Medicaid PRISM

Job description

South Point Counseling Services, LLC in Utah is seeking a Senior Medical Billing Specialist to lead billing operations, supervise staff, and ensure accurate reimbursement for behavioral health services.

Candidates should have at least five years of medical billing experience, familiarity with Medicaid/Medicare, CPT codes for behavioral health, and proficiency with TherapyNotes, Optum ProviderConnect NX, and PRISM.