About this role
Billing Specialist
📍 Baltimore, MD
💰 $45,000 - $50,000 Salaried
🕒 Full-time| Shifts: 8:00AM-4:00PM| Sunday- Thirsday
About Us
CarePoint Response, Inc. (CPR) is a nonprofit organization providing behavioral health crisis response services in Baltimore, including telephone crisis support, mobile crisis response teams, residential crisis services, and medical detoxification services. Since 1992, CPR has provided behavioral health crisis intervention and substance use treatment services for individuals experiencing mental health or substance use crises in Baltimore.
The Opportunity
We are seeking a Financial Services Specialist to support CPRs financial operations through accounting, billing, accounts receivable, and administrative functions. In this role, you will assist with third-party, residential, and medical billing; process service authorizations and payments; review and reconcile accounts; research claim denials; and prepare invoices and financial reports. You will collaborate with the financial team and other departments to maintain accurate records, ensure timely processing of payments and reimbursements, and support the organizations financial and administrative operations.
Essential Functions
- Process, obtain, verify, extend, and maintain service authorizations within the electronic health record (EHR) system for behavioral health, crisis residential, inpatient residential crisis care, mobile crisis, and other covered services.
- Monitor authorization status, utilization limits, expiration dates, and documentation requirements to ensure uninterrupted reimbursement and continuity of care.
- Complete billing and authorization activities related to inpatient residential crisis care services, including authorization requests, continued stay reviews, discharge reconciliation, claim submission support, and resolution of authorization-related billing denials.
- Process billing and authorization functions for mobile crisis services, including verification of payer eligibility, authorization requirements, encounter review, claim submission, and follow-up on denied or pended claims.
- Serve as a liaison with Administrative Service Organizations (ASOs), Medicaid managed care organizations, and other payers to resolve authorization discrepancies, billing issues, compliance concerns, claim denials, and reimbursement delays.
- Conduct routine audits of authorizations, billing records, and EHR documentation to ensure compliance with payer regulations, contractual requirements, and organizational policies.
- Collaborate with clinical, program, and quality management staff to obtain required documentation supporting authorizations, medical necessity determinations, and successful claim adjudication.
- Research, document, and resolve authorization-related compliance issues and communicate corrective actions to appropriate stakeholders.
- Track and report authorization trends, denied authorizations, billing exceptions, and reimbursement variances to management.
- Maintain detailed records of authorization requests, approvals, denials, appeals, and payer communications.
- Assist with authorization appeals and reconsideration requests by compiling supporting documentation and coordinating with clinical staff and payers.
Qualifications
Qualifications
Qualifications
Education & Credentials: High School Diploma or GED Equivalent, Required. Associate degree in Accounting or Related Field, Preferred
Experience: 2–4 years of experience in healthcare billing, medical claims processing, insurance authorization, accounts receivable, or a related financial/administrative role.
Why Join CarePoint Response
💡 Make a direct impact in clients recovery journey.
🏥 Medical, Dental, and Vision Insurance.
💼 403(b) Retirement Plan.
🌴 Generous PTO – Vacation, Sick, Personal, and Holidays.
📚 Tuition Reimbursement & Professional Development Support.