Medical Billing & Revenue Cycle Specialist - Mental Health Clinic

Join our dedicated team at assist-world, an outpatient mental health clinic committed to providing comprehensive medication management services for individuals facing depression, anxiety, and various psychiatric disorders. We are on the lookout for a skilled Medical Billing & Revenue Cycle Specialist who will take charge of claims management, denial follow-ups, invoicing, reconciliation, and minimizing Accounts Receivable (A/R). This pivotal role ensures the financial stability and operational effectiveness of our practice.

This position is intended for experienced professionals; we seek a proactive, analytical, and results-oriented individual who anticipates needs and completes tasks independently.

Role Overview:

● Medical billing
● Claims submission & denial management
● A/R reduction
● Patient billing support
● Revenue cycle optimization

Occasional administrative support will be required, including prior authorizations and call handling.

The ideal candidate possesses the following traits:

● Detail-oriented
● Highly accountable
● Solutions-focused
● Comfortable with open communication
● Results-driven, not sales-driven

Core Responsibilities:

Medical Billing & Claims Management:

● Accurately and promptly submit insurance claims
● Follow up on claim denials and rejections
● Resolve billing discrepancies
● Track and reduce A/R balances
● Reconcile payments with patient invoices
● Monitor billing trends and identify patterns

Revenue Cycle & Data Analysis:

● Analyze billing data to uncover inefficiencies
● Review claims performance metrics
● Propose process enhancements
● Maintain precise billing reports
● Ensure adherence to payer requirements

Patient Billing Support:

● Manage patient inquiries regarding eligibility and billing
● Follow up on delayed or outstanding invoices
● Communicate effectively with patients
● Address billing issues professionally
● Escalate complex matters as needed

Administrative Crossover Support:

● Aid with prior authorizations
● Assist with inbound call handling during staff shortages
● Ensure organized documentation

Required Systems Experience:

● Healthy (EHR)
● ClaimMD (Clearinghouse)
Experience with similar EHR and clearinghouse systems is acceptable. The candidate must be quick to adapt to new systems (cross-training will be provided).

Required Qualifications:

● 1-2+ years of medical billing experience (healthcare required)
● Strong analytical skills
● Excellent communication abilities