Billing Specialist

Job Description

Job Description

Join Our Team as a Billing Specialist - Protect Our Mission & Keep Care Moving!

Albuquerque, NM (In-Person) | Full-Time

About Us:

At The Community Lighthouse, our mission is healing the world, one child and family at a time. We empower children and families through education, connection, and trauma-informed care. We work hard, support each other, and maintain a positive, playful team culture.

Behind every therapy session and community support visit is a billing process that keeps our services running. As our Billing Specialist, you'll play a key role in making sure our clinicians can keep focusing on what matters most: the children and families we serve.

Who You'll Support

This is an in-person position based at our Albuquerque office. You'll support our Finance team, clinical supervisors, and admin/intake team. You'll ensure accurate, timely billing for the behavioral health services we provide in the office and in the community, and you'll build strong working relationships with our MCO partners.

Why You'll Love Working Here

• Supportive, team-based culture + regular check-ins
• Reports directly to our Finance Manager
• A team that values new ideas for improving efficiency
• Paid training
• Meaningful work supporting an organization that serves children and families

Pay (Based on Experience)

1–2 Years (Entry): $22–$24/hr

3–5 Years (Mid): $25–$27/hr

6+ Years (Senior): $28/hr

The Billing Specialist ensures accurate and timely claims processing, payment posting, and account reconciliation in support of our revenue cycle. You'll safeguard the financial integrity of our organization by maintaining compliance with payer requirements, resolving billing discrepancies, and supporting efficient reimbursement for behavioral healthcare services.

What You'll Do

• Oversee and streamline billing and collections processes, including:
  • submitting claims within 3 days of closed encounter notes
  • reviewing claims to ensure encounter notes match the reimbursement codes used
  • tracking open claims and following up with supervisors
  • reporting chart errors to the BMS Coordinator
• Identify, correct, and resubmit denied claims, and contact insurance companies and clients as needed
• Maintain insurance and patient A/R, with a goal of 95% in the 0–30 day bucket
• Verify and process patient refunds within 3 days
• Partner with the admin/intake team on copays, deductibles, and outstanding balances
• Hold weekly or bi-weekly meetings with MCO representatives to resolve credentialing and denial issues
• Oversee reporting and data submission for The Data Project
• Stay current on payer contracts, insurance newsletters, and best billing practices, and share updates with leadership

Minimum Requirements

• Extensive knowledge of medical billing (behavioral health billing a plus)
• Knowledge of insurance companies, MCOs, and payer requirements
• Working knowledge of HIPAA
• Highly organized with strong attention to detail
• Strong communication skills
• Ability to manage multiple projects at once and work with minimal supervision
• Monday–Friday, in person at our Albuquerque office
• FULL-TIME, 40 HOURS PER WEEK. PART-TIME AND REMOTE POSITIONS ARE NOT AVAILABLE

Qualifying Education/Experience

Related experience may include medical billing, revenue cycle management, claims processing, A/R management, insurance verification, or healthcare administration. Certifications such as CPB, CPC, or CRCR are a plus but not required.

Not sure if you qualify? Apply, and we can review your experience!

Benefits

• PAID TRAINING
• WORK-LIFE BALANCE
• SUPPORTIVE CULTURE
• GROWTH OPPORTUNITIES
• DIVERSITY, EQUITY, and INCLUSION
• Up to 3.5 WEEKS PTO & PAID SICK LEAVE
• 6 PAID HOLIDAYS
• Medical, Dental, Vision, and Life Insurance
• PAID MATERNITY LEAVE
• DISCOUNTED GYM MEMBERSHIP
• 401K - 4% MATCH

The Community Lighthouse is an Equal Opportunity Employer. We welcome applicants of all backgrounds and do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, veteran status, or any other protected characteristic.

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