Behavioral Health Claims Processor Wanted at Turning Point This is an In-person position, located in Albuquerque, NM At Turning Point, we're looking for a detail-oriented and analytical Behavioral Health Claims Processor to join our team.
As New Mexico's leader in evidence-based addiction treatment, we rely on accurate and timely billing to ensure our clients continue receiving the care they deserve.
This position plays a critical role in the financial health of our organization by managing behavioral health claims, resolving billing issues, and maximizing reimbursement for services provided.
If you enjoy problem-solving, working with healthcare data, and ensuring accuracy in every detail, we'd love to hear from you.
Key Responsibilities Reviewing and verifying the accuracy of behavioral health claims prior to submission
Processing claims for urine drug screens, Peer Support services, and other treatment programs
Maintaining billing spreadsheets and reports to support financial tracking and reconciliation
Utilizing electronic clearinghouse systems to submit claims, monitor rejections, identify trends, and resolve denials
Working with insurance companies, including Medicare, Medicaid, commercial insurers, and Blue Cross Blue Shield, to resolve billing questions and reimbursement issues
Verifying documentation, coding, dates of service, and billing accuracy
Collaborating with clinical, administrative, and billing staff to improve revenue cycle efficiency
Maintaining compliance with payer requirements, billing regulations, and organizational policies
Staying current on healthcare billing regulations, coding updates, and reimbursement practices
What You Bring Minimum of two years of experience in medical billing, healthcare revenue cycle management, or a related field
Experience working with Electronic Health Record (EHR) systems and medical billing software
Working knowledge of ICD-10, CPT, and HCPCS coding systems
Understanding of Medicare, Medicaid, commercial insurance, and behavioral health reimbursement processes
Strong analytical, organizational, and problem-solving skills
Excellent attention to detail and accuracy
Ability to manage multiple priorities while meeting deadlines
Strong written and verbal communication skills
Preferred Qualifications Bachelor's degree in Accounting, Finance, Healthcare Administration, Business Administration, or a related field
Certified Professional Biller (CPB), Certified Medical Reimbursement Specialist (CMRS), or similar certification
Experience in behavioral health or substance use disorder billing
Experience with insurance denial management and payment reconciliation
Advanced proficiency with Microsoft Excel and reporting tools
Familiarity with managed care contracts and fee schedules
The Perks At Turning Point, you'll become part of a mission-driven organization dedicated to helping individuals achieve lasting recovery.
You'll work alongside a collaborative team while supporting the financial operations that allow our clinical programs to thrive.
Your work will directly contribute to ensuring our clients continue receiving high-quality, evidence-based care.
Working Environment This position is primarily office-based and requires extended periods of computer work, data entry, and interaction with electronic billing systems.
The ideal candidate is highly organized, able to manage multiple priorities, and comfortable working both independently and collaboratively in a fast-paced healthcare environment.
Reasonable accommodations will be provided to qualified individuals with disabilities in accordance with applicable law.
Pay: $25.00 - $26.00 per hour
Benefits 401(k) matching
Dental insurance
Employee assistance program
Health insurance
Paid time off
Vision insurance
Work Location:In person.
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