Billing Specialist

Summary The Billing Specialist at Brightwater Health will navigate insurance and client billing. They help with preparing, reviewing, approving, and mailing invoices to various insurance companies. Duties Process and balance insurance and client payments in the patient billing system. Review, release and submit electronic claims. Review and mail client statements. Verify insurance eligibility and follow up on overdue or denied insurance claims. Follow up on missing prior authorizations. Respond to client phone calls with account questions. Prepare, review, approve, and mail invoices to various insurance companies. Utilize the following computer programs: Microsoft Word, Excel, Internet Explorer, Carelogic, and insurance websites as needed. Monitor and fix failed claims with Billing Supervisor support. Run weekly and monthly reports relating to services provided in our community support programs to make sure we are providing and collecting reimbursements under the correct program and funding source. Review and complete billing adjustments related to grants and write offs. Monitor and fix the self-pay report. Manage grant reporting related to client data spreadsheets. Review and track EAP billing. Respond to phone calls about account questions, verify insurance eligibility, prepare/mail miscellaneous invoices. Insurance verification. Verifying and obtaining prior authorizations when needed. Attend meetings and other training seminars essential to billing, outpatient mental health and Brightwater health. Entering and monitoring client accounts with our collection agency. Minimum Qualifications Moderate knowledge of health insurance plans. 1-3 years experience working with health insurance and an understanding of common health insurance terminology. High school diploma or GED and six months of related experience. Desired Qualifications One to 3 years experience, knowledge or related training of health insurance, experience working with the public, ability to work in a fast‑paced work environment, ability to prioritize workload, knowledge of insurance and claims/billing, good communication skills. Ability to work independently and as a team member. Brightwater Health Advantage Flexible Scheduling Personal Training/License renewal budget. Ability to work collaboratively with a team and community partners. Unparalleled opportunity for growth and advancement in the largest, most comprehensive behavioral health clinic north of the Twin Cities. Emphasis on life/work balance. Start working smarter, not longer. Have the opportunity to work 36 hours every week while still getting paid for 40 hours worked. Full Benefit Package including: Vacation Time, Sick Time, Personal Time, 11 paid Holidays per calendar year, Medical Insurance, Dental Insurance, Vision Insurance, Life Insurance, AD&D Insurance, Long Term Disability, Employee Assistance Program, and an Employer Matched 401K. Equal Opportunity / Affiliated employer #J-18808-Ljbffr