Insurance Billing Specialist

Job Description:

Job Title: Insurance Billing Specialist

Location: St. Charles, MO OR Remote
Department: Financial Services
Schedule: Full-Time, In-Person or Remote
Hours: Monday-Friday | 8:00 a.m. - 5:00 p.m.

Remote Work Eligibility: This position has the option to be remote; however, candidates must reside in a state where Centerstone is currently authorized to employ remote workers. At this time, we are unable to consider applicants who reside in Alaska, California, Connecticut, Delaware, Maryland, Massachusetts, Montana, New Jersey, New York, Oregon, or Vermont.

Make an Impact Behind the Scenes of Patient Care

As an Insurance Billing Specialist, you'll play a critical role in maintaining accurate billing practices, resolving claim issues, and helping maximize reimbursement for services provided. If you're detail-oriented, organized, and enjoy problem-solving in a healthcare environment, we'd love to hear from you.

Why Join Us?

Benefits & Perks

• 29 Days of Paid Time Off (PTO)
• HRSA Loan Repayment Eligibility (requirements apply)
• Comprehensive Medical, Dental, and Vision Insurance
• Competitive 403(b) Retirement Plan with up to 5% Company Match
• Company-Paid Basic Life Insurance
• Emergency Medical Leave Program
• Flexible Spending Accounts (Healthcare & Dependent Care)
• Employee Assistance Program (EAP)
• Employee Discount Program
• Health & Wellness Initiatives
• Mileage Reimbursement (when applicable)

What You'll Do

• Prepare, review, and submit insurance claims for private payers in accordance with established billing timelines.
• Audit claims and supporting documentation to ensure accurate coding, diagnoses, and charges before submission.
• Maintain accurate records related to insurance billing activity, claim status, denials, authorizations, payments, and reimbursement trends.
• Monitor payer reimbursement patterns and identify concerns related to contracted and out-of-network insurance payments.
• Investigate, follow up on, and resolve unpaid or denied claims.
• Prepare and submit claim appeals within required industry timeframes.
• Communicate claim and appeal statuses to program staff and stakeholders.
• Generate timely reports related to accounts receivable, claim status, collections activity, and reimbursement trends.
• Assist with monitoring outstanding receivables and provide recommendations regarding collections, write-offs, and reimbursements.
• Support process improvement initiatives, including billing system enhancements and database maintenance.
• Collaborate with billing leadership and internal teams to improve efficiency, accuracy, and financial outcomes.

What We're Looking For

Knowledge, Skills, & Abilities

• Strong understanding of medical billing, collections, and insurance reimbursement processes.
• Working knowledge of medical coding principles and third-party payer requirements.
• Excellent attention to detail and ability to identify billing discrepancies.
• Strong problem-solving and analytical skills.
• Outstanding communication and customer service abilities.
• Accurate 10-key and alphanumeric data entry skills.
• Proficiency in Microsoft Office applications, including Excel, Word, Outlook, and database systems.
• Ability to manage multiple priorities while meeting deadlines in a fast-paced environment.

Education & Experience

Required

• High School Diploma or equivalent.
• Coursework in business practices, accounting, or related areas preferred.
• Minimum of three (3) years of experience in bookkeeping, accounting support, healthcare administration, or a related financial role.
• Minimum of two (2) years of experience in insurance billing, medical billing, or healthcare revenue cycle operations.

Preferred

• Experience working with behavioral health or healthcare billing systems.
• Knowledge of insurance authorization, claims appeals, and revenue cycle management processes.
• Familiarity with electronic health record (EHR) and billing software systems.

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.