Position Summary
We are seeking a detail-oriented and experienced Behavioral Health Medical Biller to join our team. The ideal candidate will have experience billing for behavioral health services, both individual and institutional, and possess a strong understanding of insurance reimbursement, claim submission, payment posting, and accounts receivable follow-up. This position plays a critical role in ensuring timely and accurate reimbursement while maintaining compliance with federal, state, and payer guidelines.
This position is full time and available as a remote position.
Essential Duties and Responsibilities
Submit electronic and paper claims accurately and timely to commercial insurance, Medicaid, and other third-party payers.
Verify insurance eligibility and benefits prior to clients admit and claim submissions.
Review documentation for billing accuracy and compliance with payer requirements.
Monitor claim status and resolve claim rejections and denials.
Research and appeal denied or underpaid claims.
Post insurance and patient payments accurately.
Reconcile billing discrepancies and identify trends affecting reimbursement.
Maintain and work accounts receivable to ensure timely collections.
Communicate with insurance companies regarding claim status, authorizations, and payment issues.
Collaborate with clinical and administrative staff to obtain required documentation.
Maintain confidentiality of patient information in accordance with HIPAA regulations.
Stay current on CPT, ICD-10, HCPCS coding updates, payer policies, and behavioral health billing regulations.
Assist with month-end reporting and other revenue cycle functions as assigned.
Qualifications Required
High school diploma or GED required; Associate's degree preferred.
Minimum of 2 years of medical billing experience, with at least 1 year in behavioral health, mental health, or substance use disorder billing preferred.
Working knowledge of CPT, ICD-10-CM, and HCPCS coding.
Experience billing Medicaid, Managed Care, and commercial insurance plans.
Familiarity with electronic health records (EHR) and medical billing software (Waystar, Compulink and BestNotes experience a plus)
Strong understanding of claim submission, denial management, payment posting, and accounts receivable follow-up.
Excellent organizational skills and attention to detail.
Strong verbal and written communication skills.
Knowledge of prior authorizations and utilization management.
Experience with residential treatment, outpatient therapy, intensive outpatient (IOP), or partial hospitalization (PHP) billing.
Skills & Competencies
Strong analytical and problem-solving abilities.
Excellent time management and ability to prioritize workload.
Ability to work independently and collaboratively
High level of professionalism and integrity.
Commitment to providing excellent customer service to patients, providers, and payers.
Ability to manage multiple deadlines while maintaining accuracy.
Benefits
Competitive salary
Medical, dental, and vision insurance
Paid Time Off (PTO)
Paid holidays
401(k) with employer match
Principals only. Recruiters, please don't contact this job poster.