Billing Specialist

The Billing Specialist ensures financial accountability by managing and submitting accurate service claims while maintaining compliance with Missouri Department of Mental Health (DMH), Children’s Division, Missouri Alliance for Children and Families (MACF), Medicaid, Managed Care Organizations (MCOs), and other funding requirements. This role supports the organization’s compliance and revenue stability through precise billing oversight and reporting. Requirements Prepare and submit accurate claims for services to Children’s Division, MACF, Medicaid, MCOs, private insurers, and other approved payers. Verify documentation supports claims and complies with DMH, Children’s Division, MACF, and Medicaid requirements. Resolve billing denials, rejections, and appeals in a timely manner. Conduct periodic billing reviews to prevent errors or compliance concerns. Monitor accounts receivable and report outstanding claims. Compliance & Reporting Maintain secure billing documentation in compliance with HIPAA and state requirements. Generate brief monthly revenue summaries for leadership. Identify documentation gaps and notify leadership of compliance risks. Qualifications Associate or Bachelor’s degree in Accounting, Finance, Business, or related field preferred. Preferred: Knowledge of Missouri Medicaid, DMH, and MCO billing procedures. Strong attention to detail and organizational skills. Ability to maintain confidentiality and manage deadlines independently. Performance Evaluation Accuracy and timeliness of billing submissions. Compliance with Medicaid, DMH, MACF, and Children’s Division requirements. Reduction in claim denials. Organization and security of financial documentation. #J-18808-Ljbffr Divine Family Services