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