Review clinical documentation to support accurate and timely charge entry in the billing system in accordance with payor requirements.
Assist with monitoring for missing or delayed charges and support timely submission within payor filing limits.
Submit insurance claims and monitor claim status to help ensure compliance with payor-specific guidelines.
Assist in identifying and correcting claim errors, rejections, and denials to support a clean and efficient billing cycle.
Support denial resolution activities, including investigation, correction, resubmission, and follow-up, with guidance as needed.
Help identify billing denial trends and contribute observations to senior team members to support improvements in clean claim rates and reimbursement outcomes.
Serve as a billing point of contact for families, explaining insurance processing, copays, deductibles, and balances with empathy and clarity.
Assist with self-pay billing, patient statement cycles, and individualized payment plans.
Support accounts receivable monitoring through reporting, reconciliation, and audit-related activities.
Use billing and financial reports to help manage daily workflows and prioritize follow-up tasks.
Partner with Patient Experience, Authorization & Eligibility, and clinical teams to help resolve coverage questions and support billing education.
Maintain accurate patient accounting records while adhering to HIPAA and internal data privacy and confidentiality policies.
Support audits and special projects related to billing accuracy, compliance, and process improvement as needed.
Requirements
1–3 years of healthcare billing experience; behavioral health or telehealth experience strongly preferred.
Bachelor’s degree in business, healthcare administration, or a related field preferred.
Working knowledge of insurance payor policies, billing guidelines, and claims submission requirements.
Familiarity with CPT and ICD-10 codes and how they impact billing and reimbursement.
Experience with billing platforms; experience with Mahler, Apero, or similar RCM software preferred.
Proficiency in Google Workspace or Microsoft Office, particularly spreadsheets.
Exceptional attention to detail, organization, and ability to manage multiple priorities in a fast-paced environment.
Clear written and verbal communication skills, with the ability to translate complex insurance concepts into clear, understandable language for families.
Ability to work independently on assigned tasks while seeking guidance when needed.
Collaborative mindset with comfort partnering across teams and supporting patients and families with a customer-service orientation.
Benefits
Generous benefits package (401k with match, Flexible PTO, paid holidays, 4 week paid sabbatical, 12 week paid parental leave, health benefits starting on your first day, and more)