Insurance Billing Specialist (55142)
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Job Summary
Description
Qualifications
Connecting the dots between care coverage and clarity.
YSS is looking for a detail-loving organizer a natural connector and a steady problem-solver to join our team as an Insurance Billing Specialistsomeone who can keep our revenue cycle running smoothly while delivering a seamless positive experience for clients and staff alike.
In this role acting as the bridge between YSS our clients and our third-party partnermaking sure billing coding insurance verification and documentation are handled accurately efficiently and with care. Youll also be a trusted resource for our clinical and intake teams offering guidance training and support to reduce billing issues and improve reimbursement outcomes. Reporting to the Director of Outpatient Operations youll collaborate closely with both our Revenue Cycle Management (RCM) and Welcome Teams to keep everything aligned and moving forward..
What Youll Do...
- Keep billing operations running smoothly by coordinating with our third-party billing partner
- Partner with Intake Scheduling and Clinical teams to identify and resolve billing delays
- Verify insurance benefits and provide clear upfront cost estimates for clients
- Accurately enter insurance details authorizations and demographics in CareLogic
- Maintain up-to-date client records including managing returned mail
- Connect with clients regarding balances and payment plans and support daily balance/copay updates
- Track and share insights on denials receivables and collection trends
- Communicate billing and coding updates and escalate complex claim issues as needed
- Assist clients with Sliding Fee Scale (SFS) applications and ensure compliance
- Identify and recommend process improvements to strengthen revenue and cash flow
- Serve as a go-to resource for billing questions and EMR support
- Update billing and intake procedures to reflect best practices
- Prepare reports and summaries to support informed decision-making
Please know this is not a complete list of the positions responsibilities. Duties may change or be added at any time.
What We Provide...
We believe in your potential we meet you where you are and we invest in your future. Beyond the meaningful work YSS provides the following benefits:
- Supportive leadership team and mission-driven culture.
- Flexibility and autonomy in a collaborative environment.
- Competitive salary
- Comprehensive benefits.
- Health insurance
- Voluntary dental insurance
- Voluntary vision insurance
- Life insurance and long-term disability coverage
- Supplemental accident critical illness and hospital indemnity insurance
- Professional liability insurance coverage
- Flexible spending account/health savings account
- Supplemental compensation award
- Generous Paid Time off and Leave
- Four weeks of paid time off (PTO)
- Volunteer time off
- Paid holiday leave
- Birthday holiday
- Wellness Program Opportunities
- Paid membership to the Athletic Club of Ames
- Employee Assistance Program for all employees
- Flu shots
- Mental health support
- YSS is a Public Service Loan Forgiveness qualified employer.
- 403(b) retirement offerings
If this sounds like work youd be proud to doand a team youd want to grow withwed love to hear from you. Lets do meaningful work together.
Qualifications
We want to create a world where youth are valued and empowered to stand strong. To do this we ask our staff to embrace YSS core values - Commitment Collaboration Compassion Innovation Integrity and a Can Do Spirit.
MUST HAVES - Required Qualifications
- Bachelors degree in healthcare administration business accounting or a related field.
- Minimum of 2years experience in insurance billing coding or revenue cycle management ideally in behavioral health or healthcare.
- Solid knowledge of insurance verification prior authorizations and billing regulations including Medicaid and commercial plans.
- Strong understanding of HIPAA regulations and experience handling sensitive health and financial information confidentially.
- Proficiency with EMRs (preferably CareLogic) and reporting tools.
SHOULD HAVES - Preferred Qualifications
- Familiar with mental health and substance use billing including program-specific requirements and documentation best practices.
- Highly attentive to detail and able to manage multiple tasks under deadlines.
- Experienced with financial assistance programs including Sliding Fee Scale (SFS) processes and documentation.
- Professional in representing YSS to clients staff and partners.
- A clear and effective communicator able to explain complex billing information to clients and staff.
- A problem-solver able to identify trends and recommend process improvements.
- A self-starter who takes initiative and works independently.
- A collaborative team player who works effectively across multiple teams.
The IDEAL candidate:
- Be rooted in purpose and driven by equity inclusion and positive social impact.
- Bring humility respect and cultural awareness to every interaction.
Who You Are...
Youre equal parts detail detective and people personyou catch the small stuff and know how to explain it in a way that makes sense. Youre organized reliable and comfortable navigating systems data and the occasional curveball. Most importantly you care about getting it rightnot just for the numbers but for the people behind them.
We Celebrate Your Story...
Have you navigated recovery from addiction mental health challenges trauma or housing instabilityYour lived experience offers a unique compassionate perspective that can inspire real change. By sharing your story and serving as a role model or mentor you can make a meaningful impact in the lives of youth and families.Your journey matters. If youre ready to use it to uplift and empower others we warmly encourage you to apply.
Who We Are...
Were YSS - one of Iowas oldest & largest nonprofits dedicated to putting kids first. Our mission To spark hope create opportunities and help young people thrive. With life-changing programs an enthusiastic leadership team and our brand-new 50-acre recovery campus were growing fast and thinking big. Check us out at !
At YSS we celebrate the unique backgrounds identities and experiences that each team member brings. As an Equal Opportunity Employer were dedicated to creating a respectful inclusive and empowering environment where everyone can grow and succeed. And were always working to do better together.
YSS is a nicotine-free workplace.
Heads Up! Dont Miss Our Messages! - We communicate with applicants via email - straight from our Paycom system. So be sure to keep an eye on your inbox (and your spam/junk folder too). Got questions Email - were happy to help!
The YSS Hiring Process
- Apply - Fill out the online app at - Well check out your skills and experience.
- Interview - Phone video or in-person - well chat and get to know you.
- References - Send us three people who can sing your praises.
- Screening - Background and driving checks (plus license verification if needed).
- Offer - If its a match youll get a formal offer through Paycom.
Required Experience:
IC
About Company
At YSS, we strengthen families by providing education, counseling, and stability through a wide variety of youth mental health services.
