Conduct insurance verifications to understand patient insurance benefits and document in EHR
Collaborate with behavioral health providers as needed and obtain outstanding documentation
Review electronic remittance advice (ERA) to reconcile with insurance and patient balances
Monitor and follow up on unpaid, underpaid, or denied claims, including appeals and resubmissions, to ensure timely reimbursement and resolution of payment issues
Work closely with clinicians and leadership to resolve errors
Send patient statements, settles patient balances and manage patient payment plans
Place outbound calls to patients regarding past due balances or defaulted payment plans
Take inbound calls and emails from patients regarding account questions
Review patient credit balances and process refunds as needed
Uphold patient confidentiality and adhere to all HIPAA (Health Insurance Portability and Accountability Act) regulations in handling and protecting sensitive behavioral health information
Report regularly on assigned responsibilities including A/R, trends, payments, balances, and claim errors
Performs other duties as assigned

High School Diploma or equivalent required
Desired minimum 2 years experience in medical billing, with a preference for mental health billing
Solid understanding of billing software and electronic medical records
Solid understanding of medical insurance billing, deductibles, and copays
Must have the ability to multitask and manage time effectively
Must demonstrate calm, rational thinking and clear communication when faced with deadlines and customer demands
Attention to detail and organizational skills
Familiarity with electronic health record (EHR) system Valant is a major plus (candidates with this experience will be given preference)
Excellent written and verbal communication skills
Outstanding problem-solving and organizational abilities
Exceptional customer service skills
Must have a working smartphone and reliable access to internet

Medical Billing & Revenue Cycle Lead

Key skills