Behavioral Health Outpatient Billing Specialist

Integrated Care for Greater Health, Inc. (ICGH)

. Prepare, submit, and manage claims for behavioral health services to Medicaid, Medicare, and commercial insurance payers .

Posted 11/3/2026full-timeRemote • North Carolina • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical billing for behavioral health services, including knowledge of CPT, HCPCS, and ICD-10 coding. Proficient in managing claims submissions, ensuring compliance with payer requirements, and maximizing reimbursement.

Highest-signal resume keywords

Medical Billing ExperienceBehavioral Health Billing CodesClaims Submission and AppealsAttention to DetailEHR and Practice Management Systems

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingHCPCS CodingICD-10 CodingClaims ManagementInsurance VerificationPayment PostingDenial ResolutionBehavioral Health BillingOutpatient BillingAuthorization Processes

Soft Skills

Analytical SkillsProblem-Solving SkillsCommunication SkillsTeam CollaborationConfidentiality

Tools & Technologies

Electronic Health Record (EHR)Practice Management SystemsMicrosoft ExcelMicrosoft Word

Industry Keywords

MedicaidMedicareCommercial InsuranceBehavioral HealthIntensive Outpatient Program (IOP)Substance Abuse Comprehensive Outpatient Treatment (SACOT)

About the role

Key responsibilities & impact

Prepare, submit, and manage claims for behavioral health services to Medicaid, Medicare, and commercial insurance payers
Verify patient insurance eligibility, benefits, authorizations, and coverage requirements
Ensure services are billed accurately using appropriate CPT, HCPCS, ICD-10, and place-of-service codes
Review clinical documentation to support prior authorization submissions and ensure compliance with payer authorization guidelines
Post payments, adjustments, and denials accurately in the billing system
Identify, research, and resolve claim denials, underpayments, and rejections
Submit appeals and corrected claims within payer deadlines
Monitor accounts receivable and follow up on outstanding claims to ensure timely reimbursement
Communicate with clinicians, supervisors, and insurance representatives regarding billing issues
Ensure compliance with payer requirements, state and federal regulations, and organizational policies while maximizing reimbursement and minimizing denials

Requirements

What you’ll need

High school diploma or equivalent
Minimum of 1–2 years of medical billing experience, preferably in behavioral or mental health
Knowledge of behavioral health billing codes, modifiers, and documentation requirements
Familiarity with Medicaid, Medicare, and commercial insurance billing processes
Experience with electronic health record (EHR) and practice management systems
Strong attention to detail and accuracy
Ability to manage multiple tasks and meet deadlines
Strong analytical and problem-solving skills
Excellent written and verbal communication skills
Ability to work independently and as part of a team
Confidentiality and professionalism when handling sensitive patient information
Proficiency in Microsoft Office (Excel, Word)
Experience with outpatient behavioral health billing preferred
Experience billing Intensive Outpatient Program (IOP) and Substance Abuse Comprehensive Outpatient Treatment (SACOT) services preferred, but not required
Familiarity with behavioral health payer requirements, authorization processes, and claims submission