Job Overview
PWP Health LLC, a leading behavioral healthcare organization in the U.S., is hiring a Billing Specialist to support Medicaid billing operations and ensure timely reimbursements for behavioral health services. This is a hybrid position based in Altavista, VA, offering a structured training process and long-term growth potential.
Key Responsibilities
Billing & Submission
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Submit accurate Medicaid/MCO invoices using EHR and Google Sheets
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Understand billing codes like IATP, CM, CS, and OPT
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Follow established billing schedules (bi-weekly)
Tracking & Reconciliation
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Maintain billing trackers (Paid/Unpaid, MCO Billing)
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Reconcile totals weekly and monthly
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Spot trends and flag discrepancies
Denials & Rejections
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Monitor and resolve claim denials using trackers and reports
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Prepare documentation for appeals, rebills, and resubmissions
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Fully resolve rejected claims independently
Cross-Department Collaboration
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Verify authorizations with Utilization Management
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Partner with Finance for payment reconciliation
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Summarize billing performance and escalate issues as needed
Task Execution & Process Improvement
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Accurately complete tasks while meeting strict deadlines
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Prevent common billing errors
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Recommend process enhancements for faster reimbursement
Qualifications
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1+ year experience in healthcare/behavioral health billing (preferred)
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Associate degree or higher (preferred)
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Experience with Medicaid, MCOs, and behavioral health billing codes
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Familiarity with EHR systems and Google Sheets
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Strong attention to detail, time management, and communication
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Knowledge of HIPAA and regulatory compliance
Training Provided
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HIPAA & CLAS Training
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Fraud, Waste & Abuse Provider Training
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Sexual Harassment Prevention (incl. Bystander Intervention)
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OIG Rule 50 – Abuse/Neglect Recognition
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Cultural Competency
Benefits
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401(k) + Matching
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Medical, Dental, and Vision Insurance
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Life Insurance
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Flexible Spending Account (FSA)
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Paid Sick Leave & Vacation
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11 Paid Holidays
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Employee Assistance Program (EAP)
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Work Advantage Discount Program
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Referral Program
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Remote flexibility after onboarding
Work Location Requirements
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Must live or be willing to relocate within 75 miles of Altavista, Virginia, USA
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Initial hybrid schedule: 3 days onsite, 2 days remote
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Additional onsite days may be required occasionally
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