Billing Specialist

Billing Specialist Union Category: I Hours: Full Time Location: Duluth, MN Wage: $18.11 - $23.49 (Dependent Upon Experience) Benefit Eligibility: Yes 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 following up on overdue or denied insurance claims. - Following up on missing prior authorizations - Responding 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. - Agency Target Case Management Billing. - Entering and monitoring client accounts with our collection agency. - Complete and maintain agency credentialing and recredentialing with insurance payers, including applications, required documentation, and tracking enrollment status. 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 general education degree (GED) and six months of related experience. - Typing 35 WPM, 10-key, good communication skills. 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. - Experience with agency/provider credentialing, recredentialing, and payer enrollment processes preferred. 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 largest, most comprehensive behavioral health clinic north of the Twin Cities - 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.