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Billing and Claims Specialist

Behavioral Health Clinic
Wausau, WI Full Time
POSTED ON 4/21/2025
AVAILABLE BEFORE 6/21/2025
Job Title: Billing and Claims Specialist
Reports to: Director of Operations
Description: The Billing and Claims Specialist will work with clinicians, administrative staff, patients, and insurance companies to submit and process insurance claims for mental health services at Behavioral Health Clinic (BHC).
Duties and Responsibilities:
  • Oversee coding of services using ICD-10 and DSM-5 Coding
  • Submit claims using the Electronic Health Record and claims processing software
  • Enter Payments (ERA, EFT, & Other Payments)
  • Prepare Billing Statements
  • Research and Resolve billing issues by working with insurance companies
  • Run Billing Cycle Reports
  • Research Coding Rules and Regulations with Contracted Payers to help guide best business practice
  • Patient Collection Duties (collecting copays and patient allowed amounts, creating refunds, managing collections process etc.)
  • Other duties as assigned
Qualifications:
  • Compassionate and Confidential
  • Efficient with computer software systems (with training)
  • Working knowledge of Microsoft Office and Google products (Documents, Sheets, etc.)
  • Ability to work effectively both independently and as part of a team
  • Willingness to learn and adapt
  • Strong organization and time management skills
  • Skilled in verbal and written communication including good phone skills
  • Experience in medical coding and billing preferred but not required;
    • 3-5 years of work experience (preferred)
  • Willingness to work occasional overtime
Benefits:
  • Starting pay $22.00 - $26.00 per hour
  • Healthcare Benefit Package – Including Dental, Vision, STD, LTD, and Retirement Plan Options
  • Supportive and collaborate team environment & Opportunities for advancement and leadership
  • Paid Time Off (PTO) and Holidays
*In accordance with legal requirements and company policies, successful candidates for this position will be required to complete the form I-9, Employment Eligibility Verification, as part of the BHC Onboarding Process*

Salary : $22 - $26

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