Billing Specialist

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.