Medical Billing Specialist

divh2Medical Billing Specialist/h2pStatus: Full-Time, Non-Exempt/ppReports to: Billing Director/ppSchedule: Monday - Friday, 8:30am-5:00pm/ppLocation: In-person or hybrid/ppCompensation: $26.00 - $29.00/hourly depending on experience./ph2Position Summary/h2pThe Medical Billing Specialist is responsible for submitting timely, accurate, and clean healthcare claims to insurance carriers while actively monitoring and following up on outstanding claims through ongoing A/R analysis. This role works closely with the Billing Director to support the revenue cycle, maximize reimbursements, and ensure efficient financial operations across the organization./ph2About Us/h2pAMFM Healthcare is a leading provider of evidence-based mental health treatment with programs spanning California, Washington, Virginia, and Minnesota. We are committed to delivering compassionate, individualized care through a network of specialized programs that support people across all stages of life and levels of need./ppOur mission is to provide high-quality mental health treatment in settings that foster healing, connection, and long-term wellness. Every program under the AMFM umbrella is grounded in clinical excellence, integrity, and a deep respect for the personal stories of those we serve./ppOur Programs Include:/pulliA Mission for Michael: Our flagship program offers intensive, highly personalized residential mental health treatment in small, home-like environments. With a 6-8 client ratio per home, we provide 24/7 support from a multidisciplinary clinical team, incorporating traditional therapy, experiential modalities (art, music, equine), and a deep focus on each clients lived experience./liliMission Connection: A flexible, hybrid program designed to meet clients where they areboth literally and clinically. This outpatient service combines in-person and telehealth care for adults with primary mental health diagnoses such as anxiety, depression, and mood disorders. Mission Connection ensures consistent, personalized support that fits into the clients real life./liliMission Prep: A dedicated adolescent program that works with teens and their families to create sustainable change. Focused on treating primary mental health challenges, Mission Prep offers a blend of proven therapies and innovative interventions in a supportive, home-like setting. Family involvement is central to the treatment process, helping lay the foundation for long-term success and resilience./li/ulpFrom residential programs to hybrid and outpatient care, AMFM Healthcare is proud to offer a full continuum of mental health treatment options, delivered by passionate professionals who believe in treating the whole personnot just the diagnosis./ph2Qualifications/h2ulliMust be at least 18 years old/liliHigh School Diploma or GED required/liliMinimum of 1 year of experience in medical billing, claim follow-up, and A/R analysis, preferably within behavioral health/liliSuccessful completion of all required background and record checks, including ADP Selective Screening Services/li/ulh3Physical Requirements/h3ulliAbility to work on a computer and keyboard for extended periods/liliAbility to communicate effectively in written and verbal formats/liliStrong listening and reading comprehension skills/liliAbility to sit for long periods of time/liliAbility to lift up to 10 lbs./li/ulh2Knowledge, Skills Abilities/h2ulliStrong written and verbal communication skills with the ability to build rapport with insurance representatives and internal teams/liliAbility to maintain professionalism and positive working relationships across departments/liliWorking knowledge of medical billing terminology, CPT and ICD-10 coding, and behavioral health billing practices/liliStrong organizational skills and attention to detail/liliProficiency with computer systems and ability to quickly learn new software platforms/li/ulh2Essential Duties Responsibilities/h2ulliSubmit timely, accurate, and clean healthcare claims to insurance carriers/liliMonitor and follow up on outstanding behavioral health claims across multiple insurance providers/liliContact payers via phone, email, and payer portals to investigate claim status and resolve billing issues/liliAnalyze denials and rejections, research coding and billing requirements, and prepare appeals to maximize reimbursement/liliMaintain accurate documentation and update claim statuses throughout the follow-up process/liliAssist with Single Case Agreements and out-of-network negotiation support as needed/liliNegotiate pre-payment pricing terms with third-party vendors to secure competitive out-of-network rates/liliCollaborate with billing, coding, and clinical teams to identify and resolve claim issues at the source/liliWork with patients, providers, and insurance companies to resolve discrepancies and obtain missing information/liliAnalyze aging reports and denial trends to improve billing accuracy and reduce follow-up volume/liliIdentify opportunities for post-payment reconsiderations and ensure timely submission/liliUtilize A/R software systems to generate reports, analyze trends, and improve collection strategies/li/ulpBenefits for full time employees:/pulliMedical, Dental, and Vision plans through Anthem or Kaiser./liliFSA/HSA Accounts./liliLife/ADD insurance through Anthem, 100% paid for by the employer./li/ulpOther benefits include:/pulli401k plan with employer match./liliPTO, Self Care Day, and Floating Holiday./liliEducational Assistance Reimbursement Program./liliEmployee Assistance Program./liliHealth and Wellness Membership./li/ulpApplication Instructions:/ppPlease submit your resume directly through this online job posting to be considered. We thank you for your interest in joining our team./ppAMFM Healthcare is committed to providing reasonable accommodations to ensure equal opportunities for all candidates. If you require assistance or an accommodation due to a disability during the application process or while employed, please contact our HR department. We believe in creating an inclusive work environment where every individual can thrive./ppAMFM Healthcare is committed to providing equal employment opportunities to all employees and applicants without regard to race, ethnicity, religion, color, sex (including childbirth, breast feeding and related medical conditions), gender, gender identity or expression, sexual orientation, national origin, ancestry, citizenship status, uniform service member and veteran status, marital status, pregnancy, age, protected medical condition, genetic information, disability, or any other protected status in accordance with all applicable federal, state and local laws./p/div