Behavioral Health Medical Biller – Part-time
Posted 1 month ago
You'll complete your application on RCM Staff LLC's career site.
About the Role
A staffing firm is looking for a part-time Behavioral Health Medical Biller. You will oversee the complete revenue cycle for a mental health outpatient clinic with multiple providers, ensuring that billing is handled accurately from the initial claim through to reimbursement and the handling of denials. In this remote position, you will utilize the client's current clearinghouses, payer portals, and electronic health record software to provide specialized billing support to U.S. medical practices while upholding strict compliance and high quality standards.
Requirements
- Minimum of two years of professional experience in U.S. healthcare insurance, focusing on AR follow-up, claim submission, and managing denials.
- Deep understanding of HCPCS, CPT, and ICD-10-CM coding standards.
- Working knowledge of government and commercial insurance plans.
- Capability to navigate insurance websites and payer portals proficiently.
- Capacity to work autonomously and oversee various patient accounts.
- Strong written and verbal English communication skills and high attention to detail.
- Access to a professional home office and a stable internet connection.
- Must be located in the Philippines and available to work during Eastern Time business hours.
- Preferred qualifications include an AAPC credential, prior background in behavioral health or psychiatry billing, and experience with HUSKY Health in Connecticut or glaceEMR software.
Responsibilities
- Validate the precision of charges and encounters before processing submissions.
- Transmit clean claims using the clearinghouse and practice management software.
- Identify and fix issues involving payer or clearinghouse rejections.
- Handle underpaid or unpaid claims by communicating directly with insurance companies.
- Submit appeals for denials and perform research as needed.
- Record insurance adjustments and payments derived from EOBs and ERAs.
- Confirm that billing codes align with provider documentation and payer policies.
- Organize accounts receivable reports by assessing claim age and monetary value.
- Document all actions taken on accounts thoroughly.
- Uphold HIPAA regulations and protect data integrity at all times.
Benefits & Perks
- This role provides a remote, flexible part-time schedule of roughly 20 hours per week, with the requirement to be available during Eastern Time operating hours.
Note: This listing is summarized and paraphrased by WorkNow from a publicly posted role. For the original wording and full details, please refer to the employer's official posting.
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