Billing Specialist

🔥 0 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $55k - $62k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

👻 Ghost score 5%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Willow Creek Behavioral Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance • Mental Health

Willow Creek Behavioral Health is an acute inpatient psychiatric hospital located in Green Bay, Wisconsin, specializing in trauma-informed care and evidence-based practices for a range of mental health conditions. Their services include inpatient care for adolescents, adults, and older adults facing acute behavioral health issues, outpatient programs, detox services, and tailored treatment for various psychiatric disorders such as anxiety, depression, bipolar disorder, and schizophrenia. The facility is dedicated to providing compassionate support, rapid stabilization, and ongoing care to individuals experiencing mental health crises.

📋 Description

• Review claims for accuracy and completeness prior to submission, including patient demographics, insurance information, provider information, coding, modifiers, place of service, and other billing requirements • Submit clean claims to commercial insurance, Medicare, Medicaid, and managed care payors • Monitor claim status and follow up on unpaid, underpaid, rejected, and denied claims • Research and resolve claim denials and rejections, including identifying root causes, making corrections, submitting reconsiderations or appeals, and tracking claims through resolution • Work accounts receivable and aging reports according to established follow-up timelines and priorities • Review payor remittances and Explanation of Benefits/Explanation of Payment documentation to identify payment discrepancies, denials, recoupments, and other issues • Identify underpayments and reimbursement discrepancies and escalate or pursue resolution • Correct and resubmit claims when billing errors or payor requirements are identified • Communicate with insurance companies regarding eligibility, claim status, authorization, reimbursement, and other billing-related issues • Maintain clear and complete documentation of billing follow-up and actions taken • Identify recurring denial patterns, payor issues, or workflow problems and communicate trends to Revenue Cycle leadership • Collaborate with clinical, operations, credentialing, and revenue cycle teams to resolve issues affecting claim submission or reimbursement • Maintain working knowledge of payor billing requirements and changes impacting reimbursement • Support billing-related audits, reconciliations, and other revenue cycle initiatives as needed • Success measured by timely and accurate clean-claim submission, effective accounts receivable resolution, reduced denials, underpayment recovery, thorough documentation, independent issue resolution, and identification of process improvements

🎯 Requirements

• Permanent residence in the United States • Minimum of 5 years of hands-on medical billing and accounts receivable experience • Strong experience working claims across the full billing lifecycle, from initial submission through final payment or resolution • Experience billing commercial insurance, Medicare, and Medicaid • Strong knowledge of claim submission, rejection resolution, denial management, appeals, accounts receivable follow-up, and payor reimbursement • Working knowledge of CPT, HCPCS, ICD-10-CM, modifiers, place-of-service requirements, and standard healthcare billing terminology • Experience using payor portals, clearinghouses, and electronic health record/practice management systems • Ability to research complex billing issues and independently determine appropriate next steps • Strong attention to detail and ability to identify inconsistencies or errors that may impact reimbursement • Ability to prioritize a high-volume workload and consistently follow claims through resolution • Strong written and verbal communication skills • Comfort working independently in a remote, fast-moving environment • Openness to and ability to respond to constructive feedback • Desire to improve mental health care delivery • Medical billing experience within behavioral health, psychiatry, or mental health services strongly preferred • Experience billing psychotherapy, psychiatric evaluation, crisis services, and evaluation and management services preferred • Experience working within a multi-state healthcare or telehealth organization preferred • Experience with both fee-for-service Medicaid and Medicaid managed care preferred • Experience identifying denial trends and contributing to process improvements preferred • CPC, CPB, or other relevant billing/coding certification is a plus, but not required with equivalent hands-on experience • Previous experience working remotely preferred

🏖️ Benefits

• PTO includes sick leave, certain federal holidays, and vacation • Wellness and Internet stipend • 401K • Medical, dental and vision insurance