Billing Claims Specialist
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NRG MGMT LLC
FL
Summary
The Billing Claims Specialist is responsible for managing charge entry, processing claims, and handling rejections for behavioral health and substance abuse services. They will coordinate with payers and internal teams to ensure accurate billing, timely filing, and effective resolution of claim denials.
Job Description
Job Details: Job Location: REMEDIAL PRO - Boca Raton, FL, Salary Range: $22.00 - $24.00Hourly, About Remedial Pro
Remedial Pro specializes in behavioral health revenue cycle management, providing medical billing, collections, insurance verification, and utilization review services for substance abuse and mental health treatment providers. Our mission is to help healthcare organizations maximize revenue, improve efficiency, and focus on delivering exceptional patient care.
Charge Entry / Billing Specialist
Behavioral Health & Substance Abuse Billing
Required Experience & 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
Preferred Qualifications
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
Qualifications:
