Billing Specialist

Job Description:

Job Title: Billing Specialist
Location: Kirksville, MO
Department: Billing
Employment Type: Full time
Shift:Monday - Friday 8:00 A.M. - 5:00 P.M.
 

Job Summary:
Are you a detail-oriented professional with a passion for accuracy and efficiency in healthcare billing? Do you thrive in an environment that requires meticulous data management and collaboration? Join our team at Preferred Family Healthcare as a Billing Specialist
 

As a Billing Specialist, you will oversee the in-house database to ensure accurate entry of group logs, transfers, discharges, and clinical reviews. You will be responsible for monitoring billable services, package authorizations, and service limits for accuracy. Additionally, this role involves requesting and tracking clinical reviews, maintaining admissions data, monitoring funding sources, reconciling invoicing, posting client fee deductions, and submitting billable services to Medicaid. Our ideal candidate is highly organized, detail-oriented, and proficient in medical billing systems and reporting tools.
 

Kirksville, MO offers a variety of events and activities to choose from. Whether it’s visiting the state park, stopping by the farmers market, being engaged in the college and universities, or enjoying community events and businesses. Kirksville is a community driven hub with a high quality of life. Join us in making a difference in the lives of our clients and advancing your career!

Position Perks & Benefits:

• 29 Days of PTO

• Employee benefits package - health, dental, vision, retirement, life, & more**

• Competitive 401(k) Retirement Savings Plan – up to 5% match for Part-Time and Full-Time employees

• Company-paid basic life insurance

• Emergency Medical Leave Program

• Flexible Spending Accounts – healthcare and dependent child-care

• Health & Wellness Program

• Employee Assistance Program (EAP)

• Employee Discount Program

• Mileage Reimbursement
   

Key Responsibilities:

• Oversee in-house database, ensuring accurate entry of group logs, transfers, discharges, and clinical reviews.

• Review client billable services, monitoring accuracy of services provided (procedure codes), package authorizations, and service limits.

• Request and track clinical reviews from designated program staff, ensuring timely entry.

• Work closely with Admissions/Intake teams to ensure accuracy of admission data in internal and external databases.

• Monitor funding sources by completing Medicaid status reviews at admission, transfer, and discharge.

• Conduct daily, weekly, and monthly audits to check for overlaps in billable services by clients and providers.

• Reconcile invoicing for the Accounting Department, balancing services and client fees.

• Post client fee deductions and unposted services from invoices into internal databases.

• Post commercial insurance payments into databases, including necessary write-offs.

• Submit billable services to DMH and Medicaid through batch processing within established cycles and deadlines.

• Review claim confirmations, make corrections to billable services, and request necessary information from programs.

• Hand-key services into databases for billing cycles that cannot be batch processed.

• Generate and deliver timely reports on client admissions, discharges, and billable services.

• Assist in the development of new computerized billing systems and client demographic databases.

• Demonstrate interest in the long-term and short-term goals and objectives of the company.

• Perform other duties as assigned by leadership.
   

Education and/or Experience Qualifications:

• High School diploma with coursework in typing and business practices.

• At least three (3) years of experience in a secretarial or bookkeeping position.

• At least two (2) years of experience working with computers.

Additional Qualifications:

• Considerable knowledge of medical claims preparation and electronic billing software.

• Ability to obtain necessary documentation efficiently.

• Superior communication and customer service skills.

• Excellent 10-key and alphanumeric data entry skills with attention to detail.

• Proficiency in common word processing, spreadsheet, database, and web-based applications.
   

Supervisory Requirements:
None
 

Brightli is on a Mission:

A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.

Position Perks & Benefits:

Paid time off: full-time employees receive an attractive time off package to balance your work and personal life

Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more

Top-notch training: initial, ongoing, comprehensive, and supportive

Career mobility: advancement opportunities/promoting from within

Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness

Brightli is on a Mission:

A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.

We are an Equal Employment Opportunity Employer.

Preferred Family Health Care is a Smoke and Tobacco Free Workplace.