Claims Billing Specialist

Position Summary

The Claims Billing Specialist processes claims, manages accounts, issues invoices, and updates the account database. They also generate claims, sort incoming payments, manage account balances, issue invoices, bills, and receipts, process remittances, and report to the accounting department.

Essential Functions

• Processes claims; generates claims as either paper billings or electronic files.
• Receives and sorts incoming payments with attention to accuracy.
• Manages the status of accounts and balances and identifies inconsistencies.
• Issues invoices, bills, and receipts.
• Updates the account database with new accounts or missed payments.
• Processes remittances received from payers so that open claims are updated as paid or denied under dollar control.
• Balances remittances to ensure updated claim records equal payments received.
• Ensures all clients remain informed of their outstanding debts and deadlines.
• Provides assistance to clients and employees who need guidance on insurance deductibles, co-pays, or balances.
• Mails prepared mailings for paper claims or transmits electronic claims.
• Filings documents duplicate payments or other off-balance conditions.
• Utilizes the billing system to produce reports for the accounting department on claims management, as requested by the Claims Billing Supervisor.
• Adheres to Root Center for Advanced Recovery’s Corporate Compliance Code of Conduct, policies, and procedures, as well as state and federal laws and regulations regarding HIPAA, privacy, and security.

Minimum Qualification Requirements

• An Associate’s degree in accounting or a related field and two (2) years of experience in a billing or insurance position—preferably in a healthcare setting are required.
• A Bachelor’s degree is preferred.

Compensation & Benefits

• Competitive compensation plus a comprehensive array of benefits including:
• Work Life Balance- Flexibility: Great work life balance with clinics closed on Sundays. No current on-call responsibilities. Time off including PTO (4 weeks), three (3) Paid training days and thirteen (13) paid holidays, including your birthday!
• 35 hour work week and so much more!
• Health Insurance & Dental Insurance- with flexible employee contribution options depending upon chosen plan.
• Voluntary Vision Insurance.
• Life Insurance and AD&D – 100% paid by Root Center for Advanced Recovery.
• Short-Term Disability – 100% paid by Root Center for Advanced Recovery.
• 403(b) Retirement Plan with a 5% employer match after 6 months of employment and an additional 5% employer contribution after 1 year of employment.
• $2000 provided annually for tuition, license reimbursement, certifications or other educational activities, including 3 paid training days for educational activities and conferences; an additional $1000 available for counselors seeking outside supervision hours when such cannot be provided in the organization internally.
• Annual bonus eligible based on agency performance.
• Root Center has approved sites for the following NHSC Loan Repayment Programs: The Loan Repayment Program, Students to Service Loan Repayment Program, Rural Community Loan Repayment Program and Substance Use Disorder Workforce Loan Repayment Program.

EEO Statement

Root Center is committed to hiring and retaining a diverse workforce. Root considers applicants for employment without regard to, and does not discriminate on the basis of, an individual’s sex, race, color, religion, age, disability, status as a veteran, or national or ethnic origin; nor does Root Center discriminate on the basis of sexual orientation or gender identity or expression.