Billing Specialist

Job Description:

Job Title: Billing Specialist

Location: Farmington, MO
Employment Type: Full-time

Job Summary:

Are you a detail-oriented and dedicated Billing Specialist looking to make a meaningful impact behind the scenes? Do you thrive in a fast-paced environment where accuracy and efficiency are key? Join our team and help ensure the integrity of our billing systems and client data.

As a Billing & Data Entry Specialist, you’ll oversee our internal database, monitor billable services, and support clinical and financial operations. Our ideal candidate has strong analytical skills, experience in billing and data entry, and a passion for supporting organizational goals through precision and collaboration.

Position Perks & Benefits:

• 29 Days of PTO

• Eligibility for HRSA Loan Repayment (eligibility requirements apply)

• Comprehensive 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:

• Manage in-house database entries for group logs, transfers, discharges, and clinical reviews

• Monitor billable services, procedure codes, authorizations, and service limits

• Request and track clinical reviews from program staff

• Collaborate with Admissions/Intake teams to ensure accurate data entry

• Audit admissions and billing data for accuracy and completeness

• Review Medicaid status at admission, transfer, and discharge

• Conduct regular audits to identify overlaps in services

• Reconcile invoices and post client fee deductions

• Process commercial insurance write-offs and non-posted services

• Submit billable services to DMH and Medicaid via batch processing

• Review claim confirmations and correct billing errors

• Manually enter services not eligible for batch processing

• Generate timely reports on admissions, discharges, and billing

• Support development of new billing systems and databases

• Contribute to company goals and initiatives

• Perform other duties as assigned by leadership

Education and/or Experience Qualifications:

• High School diploma with coursework in typing and business practices

• Minimum of 3 years’ experience in secretarial or bookkeeping roles

• At least 2 years of experience working with computer systems

Additional Qualifications:

• Strong knowledge of medical claims and electronic billing software

• Ability to gather and manage documentation efficiently

• Excellent communication and customer service skills

• High accuracy in 10-key and alphanumeric data entry

• Proficiency in word processing, spreadsheets, databases, and web-based applications

Job Summary:

The job responsibilities involve overseeing the in-house database to ensure accurate entry of group logs, transfers, discharges, and clinical reviews. Monitoring billable services, package authorizations, and limits of services for accuracy. Requesting and tracking clinical reviews from program staff, maintaining admissions data, monitoring funding sources, reconciling invoicing, posting client fee deductions, and submitting billable services to Medicaid. Also, providing timely reports, assisting in the development of new billing systems, and supporting company goals. Other duties may be assigned as needed.

Essential Job Functions:

• Oversee in-house database, assuring up to date entry of all group logs, transfers, discharges and clinical reviews.

• Review client’s billable services, monitoring accuracy of the services provided (procedure codes), package authorizations and daily/ weekly/monthly limits of services and accuracy of level changes.

• Request and track Clinical Reviews from designated program staff ensuring up-to- date entry of requests in a timely manner.

• Work closely with Admissions/Intake teams at designated programs to ensure accuracy of admission entry into in-house and external databases.

• Maintain and monitor internal designated mechanisms and reports to ensure accuracy/completion of admissions.

• Monitor funding sources by completing Medicaid status review at admission, transfer, and at discharge.

•  Complete daily, weekly, and monthly audits as appropriate for assigned programs, checking billable services for overlaps by clients and providers.

• Reconcile invoicing for Accounting Department, including balancing services, client fees/patient responsibility.

• Post client fee deductions and non-posted services from invoice into internal database.

• Post commercial insurance payments into internal external database that is determined to be “write-off” (clinical review denial, incomplete admission, spenddown/patient responsibility).

• Complete submission of billable services to DMH and Medicaid through batch processing based on established cycles and deadlines.

• Review claim confirmations, making corrections to billable services or request appropriate information from programs.

• Responsible for hand-keying services into database each billing cycle that cannot be submitted through batch process.

• Deliver appropriate, timely reports to designated recipients regarding client admissions, discharges, and billable services.

• Assist with the development of any new in-house computerized billing systems and client demographic database.

• Demonstrates interest in long term and short-term goals and objectives of the company.

• Other duties as assigned by Leadership.

Knowledge, Skills, and Abilities:

• Considerable knowledge in preparation of all medical claims in billing and electronic billing software.

• Ability to obtain necessary documentation

• Superior communication and customer service skills

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

• Proficient in common word processing, spreadsheet, database, and web-based application

Experience and Education Qualifications:

• High School diploma with courses in typing and business practices; AND

• At least three (3) years' experience in a secretarial or bookkeeping position, of which two (2) years includes experience with computers.

Supervisory Requirements:

• None

Employment Requirements:

• Successful completion of background check including criminal record, driving record, abuse/neglect and fingerprint check.

• Completion of New Hire Orientation at the beginning of employment.

• All training requirements including Relias at the beginning of employment and annually thereafter.

• Current driver’s license, acceptable driving record and current auto insurance.

Physical Requirements:

ADA Consideration - Sedentary work:  Exerting up to 10 pounds of force occasionally (exists up the 1/3 of the time) and/or a negligible amount of force frequently (exists 1/3 to 2/3 of the time) to lift, carry, push, or pull, or otherwise move objects, including the human body.  Repetitive movements of hands, fingers, and arms for typing and/or writing during work shift.

Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time.  Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.

Position Perks & Benefits:

Paid time off: full-time employees receive an attractive time off package to balance your work and personal life

Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more

Top-notch training: initial, ongoing, comprehensive, and supportive

Career mobility: advancement opportunities/promoting from within

Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness

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 user 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 prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.

We are an Equal Employment Opportunity Employer.

Brightli is a Smoke and Tobacco Free Workplace.