Billing Review Specialist

April 2, 2026
Application ends: June 30, 2026

Job Description

REQUIREMENTS

  • High School Diploma or GED required.
  • 2-3 years of related experience required.
  • Ability to schedule, meet, and maintain daily and monthly routines, as well as preserve the integrity of the EHR.
  • Familiarity with mental health and substance abuse billing guidelines.
  • Good analytic and problem-solving skills
  • Knowledge of credit/debit payment posting procedures.

RESPONSIBILITIES

  • Generates authorization, failed revenue, and eligibility reports on a day-to-day basis to proactively manage the front-end revenue cycle.
  • Implements, monitors, and maintains prior authorization and ensures authorizations are obtained in accordance with the insurance timely filing deadlines and entered correctly into EHR system.
  • Works with program staff to obtain authorization for additional visits as needed to eliminate or minimize non-covered services.
  • Enters all changes to client data, including demographic and insurance information, into Carelogic with a high degree of accuracy, correcting any errors.
  • Collaborates with appropriate program or department staff to resolve problematic trends, errors generated within the EHR, or to communicate on clinical data required to obtain approved authorization.

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