Billing Specialist

Guided by the teachings of Jesus Christ, Saint Louis Counseling supports healing and improved mental health for families and children of all backgrounds through professional counseling and psychiatric services. Saint Louis Counseling operates eight offices throughout metropolitan St. Louis. In addition, its School Partnership Program (SPP) therapists provide onsite services to students at more than 100 schools as well as children who are homeless living at area shelters. 

POSITION SUMMARY

Catholic Charities of St. Louis, St. Louis Counseling, is seeking a Behavioral Health Revenue Billing Specialist. The Behavioral Health Revenue Cycle Billing Specialist supports the financial operations of St. Louis Counseling by managing the day-to-day billing and reimbursement process for the services provided. Responsibilities include submitting and tracking insurance claims, posting payments, denial resolution, following up on outstanding accounts receivable, assisting clients with billing inquiries, and preparing grant and contract billing as assigned. Working closely with clinical, operational, and finance teams, this role ensures accurate documentation, maximizes reimbursement, and maintains compliance with payer, regulatory, and funding source requirements. The ideal candidate brings healthcare or behavioral health billing experience, strong attention to detail, exceptional customer service skills, and a commitment to supporting a mission-driven organization.

The starting salary for this role is $45,000.

OVERVIEW & RESPONSIBILITIES

• Submit, monitor, and reconcile behavioral health claims through the EHR and payer systems to ensure timely and accurate reimbursement.
• Review claims, billing records, and supporting documentation for accuracy, completeness, coding compliance, and payer requirements; collaborate with clinical staff to resolve discrepancies.
• Manage assigned accounts receivable, including denial management, claim follow-up, payment posting, adjustments, refunds, write-offs, and collection activities to reduce outstanding balances.
• Prepare, submit, and maintain grant, contract, school, and other funding-source invoices and billing documentation as assigned.
• Respond to billing-related inquiries from clients, payers, providers, and funding sources, providing timely and professional customer service.
• Support insurance eligibility verification, provider enrollment, and credentialing activities as needed.
• Maintain compliance with Medicaid, Medicare, commercial insurance, HIPAA, Department of Mental Health, and funding-source requirements while supporting audits and documentation requests.
• Assist with month-end reconciliations, reporting, system enhancements, workflow improvements, and other revenue cycle initiatives that improve efficiency and reimbursement outcomes.

KNOWLEDGE & EXPERIENCE REQUIREMENTS

• High school diploma or equivalent required; Associate degree in Medical Billing, Healthcare Administration, Business Administration, or related field preferred.
• Two or more years of healthcare, behavioral health, or revenue cycle billing experience preferred.
• Working knowledge of claim submission, payment posting, denial management, accounts receivable follow-up, and insurance reimbursement processes.
• Experience with Medicaid, Medicare, commercial insurance, and managed care billing preferred.
• Experience using Electronic Health Record (EHR) systems; CareLogic experience preferred.
• Knowledge of ICD-10, CPT, and HCPCS coding conventions preferred.
• Experience with grant-funded programs, contract billing, or behavioral health services preferred.
• Professional billing certification (CPB, CMBS, or equivalent) preferred.

SKILLS & COMPETENCIES REQUIRED

• Maintains claim submission accuracy rates and billing documentation quality standards established by the organization.
• Demonstrates timely resolution of denied, rejected, and unpaid claims through effective follow-up and problem-solving.
• Consistently manages assigned accounts receivable workload and meets established collection and aging-report performance expectations.
• Produces accurate payment posting, account reconciliation, and billing records with minimal correction requirements.
• Demonstrates proficiency using EHR systems, billing platforms, Microsoft Excel, and other revenue cycle tools required for the position.
• Communicates professionally and responds to client, payer, provider, and internal stakeholder inquiries within established service standards.
• Maintains compliance with HIPAA, payer regulations, grant requirements, and organizational billing policies with no significant compliance findings.
• Identifies process improvement opportunities and contributes to initiatives that enhance billing accuracy, efficiency, and reimbursement outcomes.

RESOURCES FOR WHICH ACCOUNTABLE

• Assigned accounts receivable portfolio, claim inventory, and reimbursement activities.
• Billing, reimbursement, grant-invoice, and revenue cycle documentation maintained within organizational systems.
• Compliance with payer, regulatory, funding-source, and organizational billing requirements.

Saint Louis Counseling does not discriminate on the basis of handicapped status in the admission or access to, or treatment or employment in, its federally assisted programs and activities. Saint Louis Counseling is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, or disability. 
Pre-Employment Screening 
All candidates receiving an employment offer must submit a pre-employment screening. The screenings will include criminal background check and other background checks (as needed), Family Care Safety Registration, drug screen, an employment and education or licensure/certification verification. Various positions will require physical examination, Tuberculosis screening and Hepatitis A. All offers are contingent upon successful completion of required screening.