Key Responsibilities:Billing Processing: Accurately generate and submit claims for mental health services rendered to insurance companies, government agencies, and other third-party payers.Insurance Verification: Verify insurance coverage and mental health service eligibility before client appointments to ensure accurate billing information.Claim Follow-Up: Monitor the status of submitted claims, identify and resolve any issues or rejections, and follow up with payers to ensure timely reimbursement.Payment Posting: Record and reconcile payments received from insurance companies, clients, and other sources, applying them to the appropriate accounts in the billing system.Appeals and Denials Management: Investigate claim denials, prepare and submit appeals as necessary, and collaborate with clinicians and insurance representatives to resolve disputes.Revenue Cycle Analysis: Monitor key performance indicators (KPIs) related to revenue cycle management, analyze trends, and implement strategies to optimize billing processes and maximize revenue.Quality Assurance: Implement quality assurance processes to review and validate the accuracy of billing documentation, coding assignments, and claim submissions, ensuring compliance with payer requirements and minimizing denials.Documentation Compliance: Maintain accurate and organized records of billing transactions, including patient information, services provided, insurance details, and payment history.Adherence to Regulations: Stay informed about current healthcare regulations, coding guidelines, and compliance standards relevant to mental health billing practices.Client Communication: Provide excellent customer service to clients regarding billing inquiries, insurance coverage, and financial assistance options, addressing concerns promptly and professionally. Back up to client care with answering phones and scheduling appointments.Clinical Credentialing: Coordinate the credentialing process for healthcare providers with various insurance companies and managed care organizations. Manage the re-credentialing process for providers, tracking credentialing expirations and initiating renewal applications in a timely manner to prevent gaps in participation.Provider Data Maintenance: Maintain up-to-date provider information in credentialing databases and insurance portals, including demographic details, licensure, certifications, and malpractice insurance coverage.Qualifications:A Degree in billing, healthcare administration, finance, business, or a related field is preferred.Minimum of 2 years of experience in medical billing or healthcare revenue cycle management, with knowledge of mental health billing procedures.Proficiency in medical billing software and electronic health record (EHR) systems.Strong understanding of CPT, ICD-10, and DSM-5 coding principles, with the ability to accurately assign codes for mental health diagnoses and procedures.Excellent verbal and written communication skills, with the ability to interact effectively with clients, clinicians, and insurance representatives.Detail-oriented and highly organized, able to manage multiple tasks efficiently and prioritize workload effectively.Excellent analytical and problem-solving skills, with the ability to identify process improvements and implement solutions to optimize billing operations.Commitment to maintaining patient confidentiality and adhering to ethical standards in handling sensitive information.Benefits:This is a w2 position which includes health insurance if desired and two weeks PTO along with major holidays. recblid jhz5ytt35exu8vtsfuoh9q4fkztoai