Medical Billing & Authorization Specialist

Medical Billing & Authorization Specialist

Location: Terre Haute, IN

Position Type: Part-Time; up to 20 hours per week

Reports To: CFO & COO (collaborative/lateral support)

About Point Beyond Mental Health Collective

Point Beyond Mental Health Collective is a community-centered mental health practice committed to providing compassionate, accessible, and affirming care. We strive to create a welcoming, collaborative environment for both clients and team members, grounded in respect for each person’s lived experience.

We partner with local organizations, including the Pride Center of Terre Haute, to expand access to care and ensure our services are inclusive and culturally responsive. Our team is committed to ongoing learning and providing thoughtful, affirming support to the Terre Haute community.

We’re intentional about creating a workplace that feels supportive, flexible, and genuinely enjoyable to be part of.

Why Work With Us

At Point Beyond, your work directly supports access to care in our community. Not only are you helping with accounts, you’re helping remove barriers so people can receive the support they need. We value collaboration, respect, and creating a workplace where your contributions are seen and appreciated.

Position Overview

The Medical Billing & Authorization Specialist plays an important role in supporting both our clients and our team by helping services move forward smoothly and without unnecessary delays. This person focuses on insurance verification, monitoring claims, resolving payment issues, and managing prior authorizations so clients can access care with fewer barriers.

This role is a great fit for someone looking for scheduling flexibility in their billing career or looking to grow their experience in insurance and authorizations within a supportive, team-based setting. The ideal candidate is organized, persistent, and comfortable following up on unresolved issues.

Key Responsibilities

Insurance Verification

• Verify patient insurance coverage, eligibility, and benefits prior to services
• Confirm coverage details including copays, deductibles, authorization requirements, and session limits
• Communicate verification findings clearly to the team and flag any concerns in advance

Insurance Follow-Up & Claims Support

• Monitor the status of submitted insurance claims and identify delays or concerns
• Follow up with insurance companies on unpaid or underpaid claims
• Keep clear, organized documentation of claim status and follow-up efforts
• Flag ongoing issues or patterns so they can be addressed proactively

Denials & Issue Resolution

• Review denied or rejected claims to understand what happened and what’s needed next
• Coordinate with team members to gather or correct necessary information
• Submit appeals and supporting documentation when appropriate
• Notice patterns in denials and share ideas to help prevent them moving forward

Prior Authorizations

• Submit and track prior authorization requests for services when required
• Gather and organize necessary documentation to support requests
• Follow up on authorization status and communicate updates to the team
• Help ensure services align with what has been approved by insurance

Payment Review & Coordination

• Review insurance responses (EOBs/ERAs) to identify discrepancies or concerns
• Follow up on underpayments or unexpected adjustments
• Work collaboratively with the team to ensure accounts are accurate and up to date

Communication & Team Collaboration

• Communicate clearly and respectfully with insurance representatives, clients, and team members
• Support clients in understanding insurance-related requirements when needed
• Collaborate with clinicians and administrative staff to resolve gaps in documentation or authorization

Compliance & Best Practices

• Maintain client confidentiality and follow all HIPAA guidelines
• Stay up to date on insurance requirements, authorization processes, and billing practices
• Document all work thoroughly and accurately

Qualifications

Required:

• High school diploma or equivalent
• Experience in medical billing, insurance follow-up, verification, or a similar role
• Familiarity with insurance processes, including claim lifecycle and prior authorizations
• Comfort working with EHR and billing systems
• Strong attention to detail and organization

Preferred:

• Associates degree in medical billing or related field
• Experience in mental health settings
• Working knowledge of mental health related CPT and ICD-10 codes (for context and troubleshooting)
• Experience working with a variety of insurance plans, including commercial, state, and federal programs

What We’re Looking For

• Someone who is persistent and thoughtful when problem-solving
• Strong organizational skills and attention to detail
• Clear, respectful communication
• Ability to balance independent work with team collaboration
• A commitment to supporting access to care and reducing barriers for clients

Work Environment

• Office based with potential for hybrid remote work over time
• Primarily computer-based work
• We prioritize flexibility, work-life balance, and a manageable, team-oriented workflow

Compensation & Benefits

• $15.00 - $18.00 an hour base pay commensurate with experience
• 10% commission on successfully recouped denied claims, offering additional earning potential based on your work

While this role does not currently include traditional benefits, we offer a flexible, supportive work environment with potential for remote work over time. We value a positive, collaborative team culture where people feel respected, supported, and genuinely enjoy working together.

Pay: $15.00 - $18.00 per hour

Benefits:

• Flexible schedule

Experience:

• Medical billing: 1 year (Preferred)

Location:

• Terre Haute, IN 47802 (Preferred)

Shift availability:

• Day Shift (Required)

Ability to Commute:

• Terre Haute, IN 47802 (Required)

Work Location: In person