[Hiring] Billing Claims Specialist @NRG MGMT LLC

Role Description

Charge Entry / Billing Specialist

Behavioral Health & Substance Abuse Billing

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

Requirements

• 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
• Fully Remote