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Behavioral Health Medical Biller – Part-time
RCM Staff LLC. Review encounters and charges for accuracy before claim submission .
About the role
Key responsibilities & impact- Review encounters and charges for accuracy before claim submission
- Submit clean claims through the practice management system and clearinghouse
- Work clearinghouse and payer rejections and resubmit corrected claims
- Follow up on unpaid and underpaid claims through payer portals and phone calls
- Research denials, correct and resubmit claims, and prepare appeals when needed
- Post insurance payments and adjustments from ERAs and EOBs
- Verify CPT, HCPCS, and ICD-10-CM codes against documentation and payer rules
- Work aging A/R reports and prioritize accounts by age and dollar value
- Document all account activity clearly in the billing system
- Protect patient information and follow HIPAA requirements
- Support day-to-day billing for a multi-provider outpatient mental health practice, from claim submission through payment and denial follow-up
Requirements
What you’ll need- At least 2 years of experience with U.S. healthcare insurance
- Hands-on experience with claim submission, denial management, and A/R follow-up
- Working knowledge of CPT, HCPCS, and ICD-10-CM coding
- Familiarity with commercial insurance and government health plans
- Experience using payer portals and insurance websites
- Strong written and spoken English
- Excellent attention to detail and follow-up skills
- Ability to work independently and manage multiple patient accounts
- Reliable internet connection and a suitable remote workspace
- AAPC CPC or CPB certification preferred
- Experience billing for psychiatry, behavioral health, or mental health practices preferred
- Experience using glaceEMR (Glenwood Systems) preferred
- Familiarity with Connecticut insurance plans, such as HUSKY Health preferred
- Experience with psychiatric evaluation, medication management, and psychotherapy add-on codes preferred
- Must be available during Eastern Time business hours
- Philippines-based applicants preferred
Benefits
Comp & perks- Remote work arrangement
- Part-time schedule of approximately 20 hours per week
- Work during Eastern Time business hours