Mental Health Billing Specialist

Behavioral Health group practice is currently seeking to hire a full-cycle Behavioral Health Billing and Collection Specialist with additional experience in provider credentialing.

The ideal candidate for this position should be able to handle and organize multiple responsibilities/tasks daily, as well as possess knowledge and demonstrate skills associated with medical billing, medical coding, and accounts receivable/collections – both insurance and patient-related. Behavioral Health Billing experience is a must and a requirement.

Preferred candidates can and will demonstrate their communication skills by conducting clear communication between the clinical team, other administrative staff, and patients, and should be comfortable speaking and practicing their customer service skills to insurance representatives and patients alike. Qualified candidates will be well-organized, demonstrate good character/ethics, and work as a member of the team with other staff members.

Duties:

• Regularly dropping and submitting claims daily to insurance carriers for processing
• Able to work on appeals and rejections
• Regularly work A/R
• Performing individual account analysis for patients and answer patient billing questions

• Assist with monitoring and actively collect on patient balances owed to practice
• Tracking denial notifications and maintaining claims tracking system for denied claims
• Checking and monitoring patient insurance benefits prior to their first intake appointment and alerting patient of benefits

• Creating and maintaining patient's cards on file to ensure timely patient payments
• Patient Collection on outstanding balances
• Reviewing missing claims monthly with clinicians and ensuring timely submission of all claims
• Reviewing EOB's for payments and posting payments regularly
• Reviewing payments and fee schedules to ensure proper reimbursement
• Reviewing clinical documentation to ensure proper coding is submitted
• Patient collections
• Assist in provider credentialing and payor contracting

Qualifications:

• Previous Billing experience (5 years minimum) with experience in Behavioral Health is a must
• Associates Degree
• Proven reliability, self-starter and great attendance
• Well organized, attentive to details and able to handle multiples expected tasks/deadlines
• Previous use of EMR systems and/or claims clearinghouses – Athena Health experience preferable
• Knowledge and proficiency with Microsoft Office products