Primary Department Served : BillingReports to : RCM ManagerClassification Level : Hourly | Full-TimeLocation : On-Site | 8580 Scarborough Dr. Ste 125, Colorado Springs, CO 80920 (location may change in the future to meet the needs of the company)About Colorado Psychiatry SolutionsColorado Psychiatry Solutions is the areas premier outpatient mental health practice based in Colorado Springs. We specialize in providing evidence-based, personalized care for individuals facing complex and treatment-resistant psychiatric conditions. Our mission is simple but powerful : to provide hope and healing for treatment-resistant mental health conditions.Were a young and dynamic company with a strong foundation and exciting opportunities for growth and cross-training. Whether youre early in your career or looking to expand your skills, we offer a collaborative environment where initiative is valued, ideas are welcomed, and professional development is encouraged.Our multidisciplinary team includes : A Board-Certified Psychiatrist and veteran with specialized expertise in neuropsychiatric interventionsA Chief Medical Officer who is dual board-certified in Family Medicine and Addiction MedicineA Director of Clinical Services focused on quality patient care and operational excellenceExperienced Registered Nurses, TMS Technicians, and Care Coordinators working side-by-side to support every step of the patient journeyWe value compassion, communication, and teamwork, and were looking for someone who shares those values to join us in transforming psychiatric care in our community.Job SummaryWe are seeking a Medical Billing Specialist with knowledge of the full claim lifecycle. The ideal candidate will have experience with claim submission, payment posting, denial management, and accounts receivable reporting. This role plays a key part in ensuring accurate and timely reimbursement for the clinic while maintaining compliance with industry and regulatory standards. Key ResponsibilitiesPrepare, review, and submit insurance claims using coded data (ICD-10, CPT, HCPCS)Verify claim accuracy prior to submission, including charges, codes, and patient demographicsNavigate and apply CMS guidelines effectivelyConduct insurance verifications, prior authorizations, and re-authorizationsPost payments, reconcile accounts, and generate invoices and cost estimatesRespond to billing inquiries from patients, providers, staff, and insurance carriersReview accounts, resolve denials / rejections, and recover outstanding claim paymentsWork directly with insurance payors and manage electronic remittance advice (ERA) processingCollaborate with clinical and administrative teams to ensure accurate utilization management and authorization trackingMaintain compliance with HIPAA and all federal, state, and local regulationsSupport all functions of the revenue cycle as neededUphold Colorado Psychiatry Solutions mission : "Providing hope and healing for treatment-resistant mental health conditions."Skill RequirementsExcellent verbal and written communication skillsStrong organizational skills with attention to detail and accuracyAbility to work independently and collaboratively in a fast-paced environmentHigh integrity, confidentiality, and professional boundaries in a mental health settingProblem-solving skills for claims and billing issuesQualifications RequiredHigh school diploma or GEDMinimum 1 year of medical billing experience (EHR-based billing preferred)Solid understanding of benefits, claims processes, and CMS regulationsProficiency in medical billing processes and terminologyAbility to work full-time on-site in Colorado SpringsPreferredExperience billing in a behavioral health settingCertified Professional Biller (CPB) or equivalent certificationCPT Coding : 1 yearFamiliarity with ICD-10 mental health diagnosis codesExperience with Google Workspace toolsMilitary veteran or spouse, or prior experience working with military / government agencies or underserved populationsPhysical RequirementsManual dexterity and hand-eye coordinationSitting, standing, bending, and walking as job requiresAbility to lift up to 20 pounds occasionallyAdequate hearing and speaking abilities for in-person and remote communicationEmployee Benefits (Full-Time Employees)We value our team and are proud to offer a comprehensive benefits package that supports your well-beingboth at work and beyond : 401(k) with Employer Matching Invest in your future with our retirement plan and generous match.Health Insurance Quality medical coverage to support your physical wellness.Dental & Vision Insurance Coverage that keeps your smile and sight healthy.Paid Time Off (PTO) Take time to rest, recharge, and take care of what matters most.Paid Sick Leave Because your health comes first.Paid Holidays Enjoy time off for major holidays.Colorado FAMLI Leave Program Paid family and medical leave benefits, as outlined by the state of Colorado.Colorado Psychiatry Solutions is an Equal Opportunity Employer and does not discriminate based on race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. All employment is decided based on qualifications, merit, and business needs. Applicants may redact age-related information from additional application materials, including, but not limited to, resumes, CVs, transcripts, and certifications. (DEPARTMENT OF LABOR AND EMPLOYMENT Division of Labor Standards and Statistics POSTING, SCREENING, AND TRANSPARENCY RULES (POST Rules) 7 CCR 1103-18)
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Medical Billing Specialist • Colorado Springs, CO, United States