Billing Specialist - Hybrid/Remote

*Hybrid role - 2 days in office, 3 from home with possibility to move to fully remote after 90days*

Job Title: Billing Specialist

Reports To: HR Manager

Job Status: Part-time or Full-time

Job Location: Hybrid or Remote

Hours: M-F 8am-430pm

About RWC:

At Roots Wellness Center we treat co-occurring disorders through the lens of social justice. We believe that for many, chronic social Injustice fuels the cycle of illness, addiction, and pain.

Come and work for a company that is at the forefront of social justice, with a commitment to addressing racial and socioeconomic disparities in behavioral healthcare. We are on a mission to provide marginalized individuals and families with excellent clinical care and close the gap within marginalized communities.

Summary:

The Billing Specialist will help develop, write, and send out bills to individuals and insurance companies in both our Mental Health and 245G Program.

The Billing Specialist position will support anti-oppressive/anti-racist practice, and trauma-responsive practice in all aspects of their interactions with staff, community, and company stakeholders through their administrative and operations support of program staff working on site and in community to address socioeconomic and health disparity. Comfort and proven experience and interest in working with staff with a range of identities including age, developmental and acquired disabilities, religion, spirituality, ethnicity, race, socio-economic status, sexual orientation, relationship structure, indigenous heritage, national origin, immigration status, and gender is required.

Essential Duties and Responsibilities:

• Maintain financial records
• Post and allocate payments using Procentive
• Prepare and file insurance materials
• Provider Enrollment
• Credentialing
• Coding
• Rates
• Inspecting for Units and hours
• Submit and manage billing Tickets in Procentive
• Invoicing Grants
• Confirming monthly client eligibility
• Tracking IOP hours for stipend payments
• Review service lines for errors
• Ensure Maximum billing achieved
• Collections, maintaining collection accounts with prompt tracking and follow-ups
• Medical/mental health billing
• Maintain records on insurance and clients
• Follow up with insurance carriers on unpaid or rejected claims
• Resolve issues and re-submit claims
• Work with clinicians as well as medical staff to be in compliance with agency requirements
• Other related duties may be assigned

Qualifications/Experience:

• Highschool Diploma, secondary education is advantageous
• 3-5 years' experience of proven billing experience
• Detailed orientated and organized
• Problem solver & independent

Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to outdoor weather conditions. The noise level in the work environment is usually quiet.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to talk or hear.

BIPOC, Bilingual, and LGBTQ applicants are encouraged to apply!