Billing & Insurance Specialist (Part-Time)
Talk to Wes, LLC
Talk to Wes, LLC is a growing outpatient mental health practice serving children, adolescents, adults, and families. We are seeking a detail-oriented and organized Billing & Insurance Specialist to support the practice's billing, insurance, credentialing, and contracting processes.
Schedule
- Part-Time (approximately 20-25 hours per week)
- Monday–Friday
- Hybrid position
- Primarily remote
- In-person meetings or training approximately once or twice per month as needed
Growth Opportunities
- Opportunity for increased hours as the practice continues to grow
- Potential transition to a W-2 employee position by the end of 2026
- Opportunity to take on additional billing, credentialing, contracting, and operational responsibilities
Compensation
Competitive hourly pay based on experience.
Billing & Insurance SpecialistResponsibilities
- Verify client insurance benefits and eligibility prior to services
- Contact insurance companies to verify benefits, authorization requirements, and remaining covered units/sessions
- Track authorized units, sessions used, and remaining units for clients
- Notify therapists or supervisors when authorizations or approved units are nearing expiration
- Submit and monitor insurance claims
- Review, correct, and resubmit rejected claims
- Follow up on unpaid, delayed, or denied claims
- Prepare and submit appeals for denied claims
- Communicate with insurance companies regarding claim status, payments, billing issues, provider information, credentialing, contracting, and authorizations
- Review and process Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs)
- Enter claim payments, adjustments, ERAs, EOBs, and claim updates into the billing system
- Reconcile insurance and client payments within the billing system
- Manage client copays, coinsurance, deductibles, and outstanding balances
- Contact clients regarding balances, payments, insurance issues, and required documentation
- Follow up with clients regarding missing insurance information, updated insurance cards, and billing-related matters
- Monitor Accounts Receivable (A/R) and aging reports
- Track and follow up on outstanding balances
- Investigate and resolve payment discrepancies and claim-related issues
- Maintain accurate records of authorizations, claims, payments, insurance communications, and client billing information
- Generate billing, collections, Accounts Receivable, and revenue reports
- Coordinate with the accountant regarding payment reconciliation and financial reporting
- Provide regular reports to the Practice Owner regarding revenue, collections, denied claims, outstanding balances, and billing performance
- Ensure billing processes comply with payer requirements and company policies
Contracting & Credentialing Responsibilities
- Research and identify new insurance networks and contracting opportunities
- Complete and submit applications for new insurance contracts
- Communicate with insurance companies regarding provider enrollment, contracting, credentialing, and recredentialing
- Maintain CAQH profiles and provider information
- Assist with NPI, provider enrollment, and insurance panel applications
- Adding new providers to insurance - new applications.
- Track contract applications and follow up until completion
- Maintain records of insurance contracts, credentialing documents, and provider information
- Monitor contract renewals, recredentialing deadlines, and required updates
- Assist with adding new providers to insurance panels and existing contracts
- Communicate with insurance representatives regarding network participation, reimbursement rates, and administrative requirements
- Report contracting and credentialing updates to the Practice Owner
Preferred Qualifications
- Experience with medical, behavioral health, or mental health billing
- Knowledge of commercial insurance, Medicaid, and Medicare billing processes
- Experience with insurance verification, authorizations, claims submission, appeals, credentialing, contracting, and Accounts Receivable management
- Familiarity with CAQH, provider enrollment, and insurance credentialing processes
- Strong attention to detail and organizational skills
- Ability to work independently and manage multiple deadlines
- Strong verbal and written communication skills
- Proficiency with billing software, EHR systems, Microsoft Office, and insurance portals
- Experience with SimplePractice or similar systems preferred
- Ability to communicate professionally with clients, insurance companies, providers, and accounting professionals
Schedule
- Flexible Part-Time or Full-Time
- Hybrid/Remote position
- once-twice a month in-office
Compensation
Pay: $24.00 - $34.00 per hour
Work Location: Hybrid remote in Lombard, IL 60148
