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Commercial Billing Specialist
Location
United States
Posted
10 days ago
Salary
PEN22 - PEN26 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Commercial Billing Specialist
LivWell Behavioral Health
Role Description LivWell is seeking an experienced Part-Time Commercial Billing Specialist to support the accurate and timely processing of commercial insurance claims. This is a focused billing support role ideal for a seasoned billing professional looking for flexible, meaningful contract or part-time work alongside their existing employment. You will play a key role in maintaining LivWell's revenue cycle health and ensuring payer compliance across our behavioral health service lines. Key Responsibilities - Submit commercial insurance claims accurately and in a timely manner. - Monitor claim status and proactively resolve denials, rejections, and unpaid claims. - Verify insurance eligibility and benefits as needed prior to or following service delivery. - Post insurance payments and reconcile accounts. - Communicate directly with insurance companies regarding claim issues and discrepancies. - Maintain accurate patient billing records and documentation in accordance with HIPAA and payer guidelines. - Assist with patient billing questions related to commercial insurance coverage. - Ensure ongoing compliance with payer guidelines and applicable billing regulations. Qualifications - Minimum 2 years of medical billing experience, with direct experience in commercial insurance claims. - Experience in behavioral health, mental health, or outpatient healthcare billing strongly preferred. - Familiarity with behavioral health CPT codes and common commercial payers (Optum Behavioral Health, Carelon, Magellan, Evernorth, UHC, BCBS, Aetna). - Working knowledge of HIPAA compliance requirements. - Proficiency in medical billing software and EHR/EMR systems. - Strong attention to detail and ability to work independently with minimal oversight. - Relevant certification (CPB, CPC, or similar) a plus. Requirements - Part-time (1099 contract or W-2 part-time considered) Benefits - Compensation: $22 - $26 hourly, depending on experience
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