Insurance Billing Specialist

Job Description:

Job Title: Insurance Billing Specialist

Location: Kirksville, MO

Department: Preferred Family Healthcare- Billing

Employment Type: Full-time

Shift: Monday

• Friday 9:00 A.M.

• 5:00 P.M.

Job Summary:

Are you a detail-oriented Insurance Claims Specialist looking to make a positive impact in the healthcare industry?

Join our team at Preferred Family Healthcare as an Insurance Claims Specialist! As an Insurance Claims Specialist, you'll be responsible for creating, auditing, and submitting insurance claims while maintaining compliance with regulations. Our ideal candidate is passionate about accurate billing practices, has superior communication skills, and thrives in a collaborative environment.

Living in Kirksville, MO, offers a unique blend of small-town charm and vibrant academic atmosphere due to the presence of Truman State University and A.T. Still University. Residents enjoy a strong sense of community, access to cultural events, and outdoor recreational opportunities. The city's affordable cost of living and friendly atmosphere make it an appealing place to live and raise a family. Join us in making a difference in the healthcare industry!

Position Perks & Benefits:

• Comprehensive Bonus Structure

• 29 Days of PTO

• Competitive Pay

• Eligibility for HRSA Loan Repayment *eligibility requirements

• Employee benefits package - health, dental, vision, retirement, life, & more

• Competitive 401(k) Retirement Savings Plan - up to 5% match for Part-Time and Full-Time employees

• Company-paid basic life insurance

• Emergency Medical Leave Program

• Flexible Spending Accounts - healthcare and dependent child-care

• Health & Wellness Program

• Employee Assistance Program (EAP)

• Employee Discount Program

• Mileage Reimbursement

Key Responsibilities:

• Efficient Insurance Claim Submission: Create and submit insurance claims for all private insurance billing, strictly adhering to billing schedules to ensure timely processing and reimbursement.

• Claims Documentation Audits: Conduct audits of claims documentation to ensure accuracy of charges related to diagnosis and codes, maintaining compliance with industry standards and regulations.

• Reporting System Maintenance: Maintain an up-to-date reporting system on insurance billings, processing timelines, and payment status, providing transparency and accountability in billing processes.

• Claims Follow-Up: Follow up on unpaid or denied claims, submitting appeals within industry time frames as needed, advocating for reimbursement and resolution of outstanding balances.

• Timely Reporting: Deliver timely reports to supervisors and executive

Education and/or Experience Qualifications:

• High School diploma with courses in typing and business practices.

• At least three (3) years of experience in a bookkeeping position.

• At least two (2) years of experience in an insurance billing position.

• Basic knowledge of medical coding and third-party operating procedures.

• Excellent 10-key and alphanumeric data entry skills with attention to detail.

• Proficiency in common word processing, spreadsheet, database, and web-based applications.

Required License/Certification:

• Current and active Missouri pharmacy technician license (or ability to obtain).

Additional Qualifications:

• Pharmacy technician certification preferred.

• Previous experience and training in a pharmacy, retail, medical, or customer service setting preferred.

• Previous experience as a pharmacy technician preferred.

• Prior experience with the 340B drug program preferred.

Brightli is on a Mission:

A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance use care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

As a behavioral and community mental health provider, we value diversity, equity, and inclusion in our workforce and encourage applications from individuals from diverse backgrounds and experiences. If you are passionate about empowering your local communities and promoting health equity, we invite you to join our mission-driven organization that is committed to building a diverse, equitable, inclusive and authentic workplace.

We are an Equal Opportunity and Affirmative Action Employer, and encourage applications from all qualified individuals without regard to race, color, religion, sex, gender identity, gender expression, sexual orientation, national origin, age, marital status, disability or veteran status, or to other non-work related factors.

Preferred Family Healthcare is a Smoke and Tobacco Free Workplace.