Job Description

Responsible for the timely, accurate submission and follow-up of primary and secondary claims for commercial, federal, and self-pay lines of business in support of the Business Office and agency operating divisions. Ensures accounts receivable functions comply with CMHC He-M standards, Medicaid/Medicare regulations, payer requirements, and agency policies governing fiscal integrity, documentation, and confidentiality.

ESSENTIAL RESPONSIBILITIES

• Claims Processing & Submission
• Denials Management & Follow-Up
• Payment Posting & Adjustments
• Account Maintenance & Authorization Support
• Collaboration & Compliance

Requirements

MINIMUM QUALIFICATIONS

• High School diploma or equivalent.
• Three (3) years of experience in medical billing or related healthcare administrative role, or equivalent combination of education and experience.
• Proficiency in computerized billing systems and above-average keyboarding skills.
• Working knowledge of Microsoft Office applications, including basic Excel skills.
• Strong organizational, analytical, and communication skills.

Preferred Qualifications

• Experience in a Community Mental Health Center (CMHC) setting.
• Knowledge of New Hampshire Medicaid and He-M standards.
• Experience with EMR/practice management systems and electronic clearinghouse platforms.
• Experience with Medicare, Medicaid, and managed care billing.

OTHER EXPECTATIONS

• Maintain professional conduct consistent with agency values and CMHC standards.
• Maintain strict confidentiality regarding client and personnel matters.
• Adhere to attendance, leave, and notification policies to ensure departmental coverage.
• Participate in ongoing professional development and annual learning plans.
• Seek supervisory guidance when issues exceed role authority or involve regulatory interpretation.

OSHA RATING

This position is classified as Low Risk due to primarily office-based duties with minimal exposure to clinical environments. The employee is expected to comply with all OSHA regulations and agency safety policies.

Full job description will be provided if selected for interview.