Program Name: Revenue Acquisition Department (RAD)

Works with the following population: Internal departments, insurance companies, etc.

Days & Time: This position will work 40 hours a week. Monday through Friday. Most programs work from 8am to 5pm, with a one-hour lunchbreak.

Pay: $33,072 per year

The Financial Insurance Clerk will work in the CareLogic EHR System and will support the behavioral health revenue cycle by verifying benefits, maintaining accurate financial records within the CareLogic electronic health record platform, resolving billing issues, as well as processing insurance claims. This role will work closely with the intake teams, insurance companies, and clinical staff to ensure clean claims and timely reimbursement.

Job Responsibilities:

The candidate will do the following:

• Verify client insurance eligibility, benefits, and coverage requirements.
• Enter and maintain payer updates in CareLogic.
• Review claims for accuracy prior to claim submission.
• Submit electronic claims for Medicaid, Medicare, Commercial, and Manage Care plans.
• Monitor claim status and resolve rejected, or unpaid claims.
• Research billing discrepancies and correct claim errors.
• Assist patients with billing questions, payment plans, and insurance explanations.

Minimum Requirements:

High school diploma or GED. One (1) to three (3) years' experience in medical billing, insurance verification, or behavioral health revenue cycle experience. 

Must be proficient in Microsoft Word and Excel. Must be self-motivated and have the ability to work with limited supervision. Must be detail oriented. Must have excellent communication skills, organizational skills, time management skills, and customer service skills. MUST be able to work with and around others in a fast-paced environment.


Preferred Qualifications:

Associate degree in Healthcare Administration, Medical billing, or related field. Experience with behavioral health or community mental health agencies.

Preferred Knowledge & Skills:

• Knowledge of behavioral health billing practices and revenue cycle management
• Understanding of CPT, HCPCS, ICD-10, and authorization process
• Experience using EHR systems, preferably CareLogic.
• Familiarity with Medicaid, Medicare, and commercial insurance billing
• Strong organizational skills and details
• Effective communication and customer service skills
• Proficiency in billing reports

Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. We are also unable to contact applicants who are not selected for a position. All qualified applicants will be considered but may not necessarily receive an interview. Selected applicants will be contacted by Human Resources to continue the hiring process. This position is subject to close at any time once a satisfactory applicant pool has been identified.