Insurance Billing Specialist

This is a fully remote position, open to applicants in Missouri.

📋 Description

• Prepare, assess, and file insurance claims for private payers in accordance with set billing timelines.

• Review claims and accompanying documentation to ensure accurate coding, diagnoses, and charges.

• Maintain comprehensive records of insurance billing activities, including claim status, denials, authorizations, payments, and reimbursement trends.

• Analyze payer reimbursement patterns and identify issues related to contracted and out-of-network insurance payments.

• Investigate, track, and resolve unpaid or denied claims.

• Prepare and file claim appeals within mandated industry timelines.

• Communicate the status of claims and appeals to program staff and stakeholders.

• Generate reports concerning accounts receivable, claim status, collections activities, and reimbursement trends.

• Monitor outstanding receivables and provide recommendations regarding collections, write-offs, and reimbursements.

• Support initiatives for process improvement, billing system enhancements, and database upkeep.

• Collaborate with billing leadership and internal teams to enhance efficiency, accuracy, and financial performance.

⛳️ Requirements

• High School Diploma or equivalent qualification.

• At least three (3) years of experience in bookkeeping, accounting support, healthcare administration, or a related financial field.

• A minimum of two (2) years of experience in insurance billing, medical billing, or healthcare revenue cycle operations.

• Strong comprehension of medical billing, collections, and insurance reimbursement procedures.

• Familiarity with medical coding principles and third-party payer requirements.

• Exceptional attention to detail and the ability to detect billing discrepancies.

• Strong analytical and problem-solving capabilities.

• Excellent communication and customer service skills.

• Proficient in accurate 10-key and alphanumeric data entry.

• Skilled in Microsoft Office applications, including Excel, Word, Outlook, and database systems.

• Capable of managing multiple priorities while adhering to deadlines in a fast-paced environment.

• Coursework in business practices, accounting, or related fields is preferred.

• Experience with behavioral health or healthcare billing systems is preferred.

• Knowledge of insurance authorization, claims appeals, and revenue cycle management processes is preferred.

• Familiarity with electronic health record (EHR) and billing software systems is preferred.

• Candidates must reside in a state where Centerstone is currently authorized to employ remote workers.

• Applicants living in Alaska, California, Connecticut, Delaware, Maryland, Massachusetts, Montana, New Jersey, New York, Oregon, or Vermont cannot be considered for remote work.

🏝️ Benefits

• 29 Days of Paid Time Off (PTO).

• HRSA Loan Repayment Eligibility (conditions apply).

• Comprehensive Medical, Dental, and Vision Insurance.

• Competitive 403(b) Retirement Plan with up to 5% Company Match.

• Company-Paid Basic Life Insurance.

• Emergency Medical Leave Program.

• Flexible Spending Accounts (Healthcare & Dependent Care).

• Employee Assistance Program (EAP).

• Employee Discount Program.

• Health & Wellness Initiatives.

• Mileage Reimbursement (when applicable).

• Exceptional training: initial, ongoing, comprehensive, and supportive.

• Opportunities for career mobility: advancement opportunities and promoting from within.

• A welcoming, warm, and supportive work culture and environment.

• Full-time employee benefits package including health, dental, vision, retirement, life, and more.