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Behavioral Medical Biller – Part-time
RCM Staff LLC. Create and submit insurance claims from completed therapy sessions, reviewing each claim for accuracy .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance claim submission, payment posting, and follow-up within the U.S. healthcare system, with a strong focus on accuracy and compliance with HIPAA regulations. Proficient in managing multiple patient accounts and utilizing payer portals effectively.
Highest-signal resume keywords
Insurance Claim SubmissionPayment PostingPayer Portal ExperienceAttention to DetailBehavioral Health Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim SubmissionPayment PostingInsurance Follow-UpPayer Authorization TrackingCPT Code Knowledge
Soft Skills
Strong Written CommunicationStrong Spoken CommunicationAttention to DetailIndependent WorkFollow-Up Skills
Tools & Technologies
PracticeQIntakeQInsurance Websites
Industry Keywords
U.S. Healthcare InsuranceCommercial InsuranceGovernment Health PlansBlue Cross Blue ShieldHIPAA Compliance
About the role
Key responsibilities & impact- Create and submit insurance claims from completed therapy sessions, reviewing each claim for accuracy
- Verify insurance eligibility and benefits, including copays, deductibles, coinsurance, and behavioral health visit limits
- Check claim status and follow up on unpaid claims with BCBS PPO, Aetna, and UnitedHealthcare
- Review denials and rejections, submit corrected claims, and prepare appeals
- Post insurance payments from ERAs and EOBs and reconcile client balances
- Track required payer authorizations
- Prepare superbills for out-of-network clients when requested
- Document claim activity and payer communication in the system
- Protect patient information and follow HIPAA requirements
Requirements
What you’ll need- At least 1 year of experience with U.S. healthcare insurance
- Hands-on experience with claim submission, payment posting, and insurance follow-up
- 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
- Must be available during Central Time business hours
- Preferred: Experience supporting mental health, behavioral health, or therapy practices
- Preferred: Experience using PracticeQ (IntakeQ)
- Preferred: Familiarity with Illinois insurance plans, including Blue Cross Blue Shield of Illinois
- Preferred: Knowledge of psychotherapy CPT codes and behavioral health benefit rules
Benefits
Comp & perks- Part-time schedule of approximately 20 hours per week
- Remote work arrangement
- Flexible final schedule based on practice needs