REIMBURSEMENT SPECIALIST in Farmville, Virginia at Crossroads Community Services Board

Position: Full-Time

Location: Farmville, Virginia

Associate degree preferred and/or a minimum of three years of relevant experience.

Previous experience in billing, reimbursement, accounts receivable, collections, medical billing, or a similar setting preferred.

Strong Microsoft Office skills, particularly Excel, Word, and Outlook.

Experience with computer systems, data entry, filing, and general administrative duties.

Excellent oral and written communication skills.

Demonstrated organizational and time-management abilities.

General Description
Crossroads Community Services Board is seeking a detail-oriented and organized Reimbursement Specialist to join our Finance team. This position is responsible for billing, reimbursement, collections, and follow-up activities related to both consumer and insurance account balances.

The Reimbursement Specialist works closely with the Reimbursement/Accounts Receivable Coordinator and other agency staff to ensure accurate billing, timely follow-up, and proper resolution of reimbursement issues. This position is non-exempt under FLSA and is designated as Level Two under the HIPAA Privacy Rule.

This position requires flexibility in scheduling and the ability to travel throughout the Crossroads CSB service area and occasionally attend meetings outside the area.

A valid Virginia driver's license and acceptable driving record are required.

Employment is contingent upon successful completion of required background screenings, which may include fingerprinting, Sex Offender Registry and Crimes Against Minors Registry checks, and any other screenings required by Crossroads Community Services Board.

Medical billing, reimbursement, and accounts receivable processes.

Third-party insurance billing and claim follow-up.

Claim denials, corrections, and resubmissions.

Collection policies and procedures.

HIPAA privacy and security requirements.

Community Services Board reimbursement practices and DBHDS reimbursement requirements.

General office and clinic operations.

Essential Duties and Responsibilities

Identify, review, and monitor active and past-due consumer accounts for collection efforts.

Review consumer accounts and billing submissions for accuracy and completeness.

Assist with processing third-party payer remittances.

Assist with obtaining third-party authorizations as needed.

Generate monthly clinical service billing, including electronic billing, paper billing, and direct data entry.

Review third-party claim denials daily and take appropriate corrective action.

Void incorrect claims and submit corrected claims when necessary.

Assist with follow-up on outstanding insurance balances and reimbursement issues.

Provide training and guidance to agency staff regarding reimbursement processes and procedures.

Serve as a liaison between reimbursement staff, Office Managers, Clinic Office Assistants, and other agency personnel.

Assist individuals and staff with questions regarding services, account balances, and billing statements.

Maintain confidentiality of protected health and financial information in accordance with HIPAA and agency policies.

Perform other duties consistent with the responsibilities of the position.

Required Skills and Abilities

Strong Microsoft Office skills, including Excel, Word, and Outlook.

Strong computer and data-entry skills.

Ability to review detailed financial and billing information accurately.

Excellent written and verbal communication skills.

Strong organizational and time-management skills.

Ability to prioritize multiple responsibilities and meet deadlines.

Strong interpersonal skills and the ability to work effectively with consumers, staff, management, insurance companies, and other professionals.

Ability to work independently while also functioning effectively as part of a team.

Ability to maintain confidentiality when handling sensitive financial and health information.

Compensation and Benefits at Crossroads Services Board

At Crossroads Services Board, we are committed to offering a salary and fringe benefits package that is competitive with other agencies and businesses in our area. To support this goal, we conduct regular salary and benefits studies to ensure our offerings remain in line with market standards.

Our comprehensive benefits package for eligible employees includes:

Approximately 90% employer-paid coverage for medical, dental, and vision insurance
Access to the National Health Service Corps Federal Loan Forgiveness Program, with potential eligibility for college loan repayment
Additional benefits that support the health, well-being, and professional development of our team members

We are dedicated to creating an environment where employees can thrive personally and professionally. Each staff member plays an essential role in our mission, and we value open communication through both formal and informal channels.

We look forward to a meaningful and rewarding partnership with each employee, built on mutual respect and shared success.