United Counseling and Support Services

Role Description The Billing Specialist will be responsible for managing all billing functions for the agency’s OMHC and Medication Management programs. This includes: - Claim creation, submission, payment posting, corrections, and denials management. - Ensuring compliance with state and federal regulations. - Maintaining accurate billing records and ensuring timely reimbursement. - Supporting leadership with billing-related reporting. Key Responsibilities: - Prepare and submit clean claims for OMHC and Medication Management services to Medicaid, Medicare, and commercial insurance payers. - Verify client insurance coverage and eligibility as needed. - Update all billing tracking documentation in real time. - Review documentation and ensure all services meet billing and compliance standards before claim submission. - Monitor accounts receivable and follow up on unpaid, underpaid, or denied claims. - Resolve billing issues, complete corrections, and resubmit denied claims. - Post payments, adjustments, and reconcile accounts for accuracy. - Maintain accurate, organized billing records and reports. - Communicate with clinical and administrative staff to clarify coding or documentation questions. - Ensure compliance with HIPAA, payer regulations, and behavioral health billing requirements. - Provide weekly billing summaries and financial reports to agency leadership. - Keep up-to-date with payer policy changes related to behavioral health, OMHC, and medication management services. Qualifications - Proven experience in behavioral health billing, preferably with OMHC and Medication Management programs. - Strong understanding of CPT codes, behavioral health service codes, and Medicaid requirements. - Experience with claim submission platforms, clearinghouses, and EMR systems. - Knowledge of HIPAA compliance and billing regulations. - Excellent attention to detail and accuracy. - Ability to work independently and meet deadlines. - Strong communication and problem-solving skills. Requirements - This is an Hourly position. - Contractor must provide their own equipment and workspace. - Compensation is based on experience or per-claim/per-project structure as agreed upon. - Flexible working hours; must meet agency deadlines and billing cycles.