We are seeking a detail-oriented and experienced Billing Specialist (Contractor) to support our outpatient substance use disorder treatment program located in Washington, DC. This is a contract-based opportunity for a qualified billing professional with specialized knowledge in Medicaid billing and managed care organizations (MCOs), as well as experience working with the District of Columbia’s Department of Behavioral Health (DBH).
Key Responsibilities:
Accurately prepare and submit claims for outpatient substance use disorder services.
Ensure timely and compliant billing to DC Medicaid and the following MCOs: Amerigroup, AmeriHealth Caritas, MedStar Family Choice, and DC Local Dollars.
Submit and reconcile billing through the DBH system and maintain familiarity with DBH policies and procedures.
Follow up on unpaid claims and resolve billing discrepancies.
Maintain accurate records and documentation for all submitted claims.
Communicate with internal staff and external payers to resolve billing issues.
Stay current on changes in billing regulations and payer requirements, particularly as they pertain to behavioral health and substance use treatment services in DC.
Qualifications:
Minimum of 2 years of billing experience, with specific knowledge in behavioral health or substance use disorder treatment preferred.
Proven experience with Medicaid billing and DC-based MCOs including Amerigroup, AmeriHealth, MedStar Family Choice, and DC Local Dollars.
Familiarity with DBH billing platforms and requirements.
Strong attention to detail and organizational skills.
Ability to work independently and meet deadlines.
Excellent communication and problem-solving abilities.
Contract Terms:
Contract-based, part-time or full-time depending on availability.
Remote and/or on-site work options may be available.
Competitive compensation based on experience.