EHR Billing Configuration Specialist

JOB SUMMARY

Responsible for establishing, maintaining, testing, and monitoring accurate billing configurations within Credible EHR to ensure accurate and timely Louisiana Medicaid behavioral health claim generation and revenue cycle integrity. JOB DUTIES/ESSENTIAL FUNCTIONS:

1. Ensure billing configuration accuracy within Credible.
2. Translate payer requirements into documented billing workflows and system configurations.
3. Build, test, validate, and implement billing changes with audit documentation.
4. Audit billing rules, fee schedules, authorizations, and service definitions.
5. Monitor claims, denials, rejections, and underpayments to identify issues.
6. Collaborate with the BH Office Support Supervisor and stakeholders to improve revenue cycle performance.
7. Provide cross-training and workflow guidance.
8. Assist with claim correction, appeals, reconciliations, and audit support.
9. Maintain compliance with all regulatory requirements.
10. Perform related duties as assigned. REQUIRED EDUCATION AND EXPERIENCE:

• High school diploma or equivalent.
• Minimum two years of billing or revenue cycle experience.
• Knowledge of medical claims, denials, authorizations, and accounts receivable.
• Experience with billing configuration; Credible preferred.
• Knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and fee schedules.
• Proficiency with EHR systems and Microsoft Office.
• Strong communication and analytical skills. OTHER REQUIREMENTS: Incumbent must comply with agency policies and successfully complete required background screenings. REQUIRED SKILLS/ABILITIES: Ability to clearly and effectively communicate both verbally and in writing. Ability to communicate with people of all levels and backgrounds. Intermediate computer skills, including working knowledge of Microsoft Office, specifically Word, Excel, and Outlook. Strong organizational skills with the ability to prioritize multiple tasks and meet all deadlines. Excellent attention to detail. Ability to maintain strict confidentiality and exercise discretion when handling sensitive situations. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Must be able to use a computer as required. Must be able to communicate with others in an understandable manner. Must be able to operate standard office equipment. Work is primarily sedentary but must be able to move throughout the building to access office equipment. May need to occasionally move light equipment. Regular attendance at work is a requirement of this position. Able to travel among Volunteer of America locations within North Louisiana as required. OTHER DUTIES: This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without notice. The employee will follow all instructions and perform all duties requested and assigned by their supervisor or any Volunteers of America supervisor.