Job Description - Billing Services Specialist Position Overview:
Orion Healthcare Technologies is a company who provides an electronic practice management and billing system in the behavioral health field.
We are seeking an experienced Billing Specialist for our billing department and ensure efficient and accurate processing of billing services. This position has a quick path to management overseeing billing proceedures.
Please review qualifications below before applying. Only candidates who have the following qualifications will be considered.
The ideal candidate will have a strong background in:
- medical billing
- coding
- claims management
- electronic remittance advice (ERA)
- authorization processes, and electronic data interchange (EDI) specific to behavioral health services.
This role requires exceptional leadership, organizational, and analytical skills to manage the billing team and optimize revenue cycle management.
Key Responsibilities:
- Leadership and Supervision:
- Oversee the daily operations of the billing department, including staff supervision, training, and performance evaluations.
- Develop and implement billing policies and procedures to ensure compliance with regulatory requirements and organizational standards.
- Foster a collaborative and supportive work environment, promoting teamwork and professional development. Billing and Coding:
- Ensure accurate and timely submission of claims using appropriate coding (ICD-10, CPT) specific to behavioral health services.
- Review and resolve coding issues to minimize claim denials and optimize reimbursement.
- Support billing services customers and provide prompt and timely responses.
Claims Management:
- Monitor and manage the entire claims process, from submission to payment, including tracking and resolving denied or unpaid claims.
- Analyze denial patterns and implement corrective actions to reduce future occurrences. Electronic Remittance Advice (ERA) and Payment Posting:
- Oversee the electronic remittance advice process, ensuring accurate and timely posting of payments.
- Reconcile payments and manage discrepancies between billed amounts and received payments.
- Prepare monthly claims and services reports for internal billing Authorization and Verification:
- Ensure pre-authorization and insurance verification processes are conducted accurately and efficiently.
- Work closely with clinical staff to obtain necessary authorizations for services rendered. Electronic Data Interchange (EDI):
- Manage and oversee EDI processes to ensure accurate and secure electronic transactions with payers. •
- Troubleshoot and resolve EDI-related issues to maintain smooth data exchange. Compliance and Audit:
- Ensure billing practices comply with all applicable laws, regulations, and guidelines, including HIPAA and CMS.
- Maintain thorough documentation and audit trails for all billing activities and transactions. Reporting and Analytics:
- Generate and analyze financial and operational reports to assess the performance of the billing department.
- Provide insights and recommendations to senior management for improving revenue cycle efficiency.
Qualifications Education:
- Associates degree in healthcare administration, business, finance, or a related field preferred.
- Certification in medical billing and coding (e.g., CPC, CCS) is highly desirable.
Experience:
- Minimum of 5 years of experience in medical billing, with at least 2 years in a supervisory or managerial role within a behavioral health setting.
- Proven experience with billing services, coding, claims management, ERA, authorization processes, and EDI.
Skills:
- Strong knowledge of behavioral health billing practices, insurance regulations, and coding standards.
- Excellent organizational, analytical, and problem-solving skills.
- Proficiency in billing software and EHR systems.
- Strong leadership and interpersonal skills, with the ability to effectively manage and motivate a team.
- Excellent communication skills, both written and verbal.
Working Conditions: Full-time Remote position based in Omaha, Nebraska. How to Apply: Interested candidates should submit their resume and cover letter detailing their relevant experience and qualifications to or Click apply to submit your application.
Summary: The Billing Services Specialist will oversee the daily operations of the billing department and ensure accurate and timely processing of billing services. This role requires strong leadership, organizational, and analytical skills, as well as a background in medical billing, coding, claims management, ERA, authorization processes, and EDI specific to behavioral health services. The ideal candidate will have a degree in healthcare administration or a related field, certification in medical billing and coding, and at least 5 years of experience in medical billing with 2 years in a supervisory or managerial role. This is a full-time remote position based in Omaha, Nebraska. Interested candidates should submit their resume and cover letter to .
