[Remote] Billing Specialist

Note: The job is a remote job and is open to candidates in USA. Mountainside Treatment Center is a leading behavioral healthcare provider dedicated to treating alcohol dependency and drug addiction. They are seeking a Billing Specialist responsible for verifying insurance benefits, ensuring accurate billing and claim submission, and providing excellent customer service to patients and payers.

Responsibilities

• Verification of Benefits (VOB)
• Verify patient insurance eligibility and benefits prior to services rendered
• Confirm coverage details including copays, deductibles, coinsurance, authorizations, and limitations
• Document verified benefits accurately in the system
• Communicate benefit details and financial responsibility to internal teams as needed
• Identify coverage issues and escalate discrepancies promptly
• Billing & Invoicing
• Generate accurate patient statements and invoices in a timely manner
• Review charges for accuracy prior to billing
• Customer Service & Communication
• Handle inbound and outbound calls with clients, payers, insurance companies, and internal staff
• Provide clear explanations regarding charges, statements, invoices, and insurance coverage
• Address patient billing inquiries and resolve concerns professionally and compassionately
• Maintain excellent customer service standards while managing sensitive financial information
• Claims Submission & Follow-Up
• Research claim status using payer portals, phone calls, and correspondence

Skills

• High school diploma or equivalent required
• Strong attention to detail and accuracy required
• Knowledge of medical terminology, insurance terminology, and billing procedures in a healthcare setting preferred
• Knowledge of billing regulations and compliance requirements preferred

Benefits

• Comprehensive benefit package
• Paid Time Off (which increases after 1 year with Mountainside)
• Paid holidays including a Multicultural Holiday
• 401(k) with employer matching
• Monthly $75.00 wellness reimbursement. Our Wellness Reimbursement benefit is meant to encourage employees to engage in productive self-care to avoid burnout and compassion fatigue.

Company Overview