Billing Specialist
Description:
Job Description
Description:
We are seeing an experienced Behavioral Health Billing Specialist to handle all Medicaid billing functions for our agency. This role is responsible for accurate claim submission, resolving denials, maintaining compliance with Medicaid regulations, and supporting overall revenue cycle efficiency.
Responsibilities:
Submit and manage Medicaid claims for behavioral health services
Verify documentation accuracy and proper coding (CPT/HCPCS, ICD-10)
Track, correct, and resubmit rejected or denied claims
Post payments and reconcile remittances
Maintain compliance with Medicaid policies, HIPAA, and state regulations
Coordinate with clinicians and staff on documentation and authorizations
Qualifications:
Medical or behavioral health billing experience
Strong knowledge of Medicaid billing and behavioral health service codes
Experience with EHR/billing systems
Detail-oriented with strong problem-solving skills
Billing/coding certification preferred but not required
Requirements:
Experience with medical billing and Medicaid billing. Experience with Sunwave, preferred.
Full-time