Insurance Billing Specialist

At Jefferson Center, it is our policy and our mission to be inclusive and mindful of the diversity of everyone who comes through our doors. We are passionate about building a community where mental health matters and equitable care is accessible to all races, ethnicities, abilities, socioeconomic statuses, ages, sexual orientations, gender expressions, religions, cultures, and languages.

This position works under the supervision of the Revenue Cycle Manager.  Responsibilities include the following: eligibility/verification of benefits, processing insurance claims through the full billing cycle from submission to claim processing completion for a group of payers. This position requires credentialing knowledge specifically with Medicare. This position requires clear understanding of the rules of confidentiality, the ability to exercise sound judgment, previous billing experience and knowledge of the behavioral health vocabulary.

Licenses, Certifications, and/or Software:

• Requires knowledge of medical billing and collection practices/procedures for commercial insurance companies, Medicare and Medicaid.
• Experience with the overall billing process: claims- electronic and paper, authorizations, payment posting, CPT coding, benefit verifications, EOB’s and ERA’s.
• Excellent computer and customer service skills are required.  Excel experience is required.
• Experience with aging reports and general ledger reconciliations.
• Basic Accounting skills.
• Able to contribute and be part of a team.

Essential Duties:

• Submit billing to various insurance companies and post payments within timely limits.
• Resolve clearinghouse claim edits within timely limits.
• Follow-up on denials and submit appeals to insurance companies for payment within timely limits.
• Acquire benefit coverage in regard to behavioral health and obtain authorizations.
• Communicates patient benefits to staff and consumers appropriately.
• Work various reports; collections, aging, reconciliations, service pending, and closed client reports.
• Correct set up of patient billing, follow-up and resolve of billing issues.
• Work with billing department staff in a team-oriented approach.
• Interact with internal and external agencies in a professional and customer-friendly manner.
• Help credential staff with Medicare and maintain payor enrollment.
• Able to prioritize and work independently.
• Back up in the department for other positions.

Other Duties: (As Necessary)

• Other duties as assigned by supervisor

Note: Employees are held accountable for all duties of this job.  This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.

Salary Grade 10 – $52,000 ($25.00/hr)*

Additional Salary Information*:

• The salary range above is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE.*

Application Deadline: 3/6/2025. Review of applications will begin immediately. 

Salary : $25