Billing and Reimbursement Specialist — Hybrid

Job overview

The Billing and Reimbursement Specialist — Hybrid role is hybrid in Ludington, MI, with a stated pay range of $23.13–$29.23; the posting does not specify a pay period. West Michigan Community Mental Health System supports behavioral health services and related billing and reporting workflows. The specialist processes service and claims data, submits bills to payers and consumers, follows up on rejections, and applies payments. Accurate records and timely claims help the organization meet payer requirements and support reimbursement for services delivered.

What you'll do

• Enter and verify service activity in clinical and accounting systems
• audit and process claims submitted by network providers
• generate and submit bills and claims
• follow up on rejections
• and post payments. Verify consumer financial and insurance information, ensure medical charts are set up for appropriate billing, meet submission deadlines, coordinate Medicaid eligibility workflows, and complete provider enrollments. Maintain knowledge of CPT and HCPCS codes and payer billing requirements.

What we're looking for

Skills & competencies

billing specialist

reimbursement

ludington mi

west michigan community mental health system

full-time

hybrid

claims processing

medicaid

medicare

cpt codes

hcpcs codes

$23.13–$29.23

Work arrangement

• Weekend coverage required

Why this role

The role involves behavioral health reporting requirements and guidelines from Michigan DHHS, Michigan Legislature, Medicaid, Medicare, Blue Cross, and other payers.

About the employer

West Michigan Community Mental Health System is hiring for this role. Industry: Outpatient Mental Health and Substance Abuse Centers. Sector: 62.