Ensure all aspects of billing for telehealth mental health services, including correcting billing issues and resolving rejections, are done in a timely and accurate manner
Verify patient insurance benefits, obtain necessary pre-authorizations, and ensure coverage for mental health services
Review and process claims in compliance with HIPAA, Medicare, Medicaid, and private insurance guidelines
Reconcile patient accounts, process payments, and resolve discrepancies in billing and collections
Track and follow up on unpaid claims, submit appeals for denied claims, and work with insurance providers to resolve any issues
Collaborate with clinical staff to ensure accurate documentation and coding for behavioral health services
Maintain up-to-date knowledge of telehealth billing policies, CPT codes, and insurance regulations specific to mental health services
Provide exceptional customer service to clients by addressing billing inquiries and resolving account issues
Generate and analyze billing reports to ensure accurate financial records and compliance
Support the development and implementation of billing best practices and process improvements
Requirements
Minimum of 2-3 years of experience in behavioral health billing, preferably in a telehealth or mental health setting
Experience with verifying benefits to ensure accurate patient coverage
Familiarity with insurance billing, coding (CPT, ICD-10), and revenue cycle management
Experience identifying and resolving billing errors and claim rejections
Experience with billing software and electronic health record (EHR) systems
Knowledge of HIPAA regulations and insurance policies related to mental health
Strong attention to detail and excellent organizational skills
Ability to work independently in a remote environment and manage multiple tasks simultaneously
Excellent communication and problem-solving skills
Certification in medical billing or coding (preferred, but not required)
Preferred: Experience with Healthie, Candid, Hubspot, and Helpscout