Billing Claims Specialist

NRG MGMT LLC

Lake Worth, FL Job Details $22 - $24 an hour 2 hours ago Benefits Health insurance Dental insurance Paid time off Vision insurance 401(k) matching Life insurance Qualifications Appeals Medical insurance coverage verification Patient management software Medical coding guidelines Research Charge capture (medical billing) Electronic health record (EHR) management for billing and coding Medical billing and coding communication with insurance companies Medical denial root cause analysis (RCA) Medical insurance appeals management Medical claims submission Insurance provider collaboration Insurance claims appeal handling Full Job Description About Remedial Pro Remedial Pro specializes in behavioral health revenue cycle management, providing medical billing, collections, insurance verification, and utilization review services for substance abuse and mental health treatment providers. Our mission is to help healthcare organizations maximize revenue, improve efficiency, and focus on delivering exceptional patient care. Charge Entry / Billing Specialist Behavioral Health & Substance Abuse Billing Required Experience & Qualifications 3+ years of experience in charge entry and billing specifically within substance abuse and/or mental health/behavioral health settings Proven experience with rebilling and corrected claims submission Hands-on experience working a rejected claims work queue, including researching, correcting, and resubmitting denials Proficiency with both UB04 (institutional) and

HCFA-1500

(professional) claim forms Experience submitting both new (original) claims and corrected claims Working knowledge of payer-specific billing requirements and claim rejection/denial codes Familiarity with EHR/billing software systems (e.g., MedTrainer, CollaborateMD, Sunwave, etc.) Understanding of insurance verification, claim timely filing limits, and appeals processes Knowledge of CPT, ICD-10, and HCPCS coding as it relates to behavioral health/SUD billing Preferred Qualifications Experience with Medicaid billing rules for behavioral health services Familiarity with commercial payer portals for claims status and appeals Soft Skills Adaptability — comfortable shifting priorities in a fast-paced, high-volume environment Attention to detail — accuracy is critical when correcting and resubmitting claims Problem-solving mindset — able to research root causes of rejections rather than just resubmitting Strong written and verbal communication — for coordinating with payers, providers, and internal teams Time management — able to prioritize and manage a queue of claims against deadlines Resilience and patience — persistence when dealing with repeated denials or complex payer requirements Team player — willing to support colleagues during high-volume periods

Benefits:

401(k) matching Health Insurance Dental insurance Vision insurance Life insurance Paid time off Remote