Insurance Billing Specialist (Mental Health)

About Us:
The Comfy Place is a growing company dedicated to providing top-tier mental health and therapy services. We are seeking a skilled Billing Specialist with expertise in medical billing, insurance verification, and claims management. This role is crucial in ensuring the efficient handling of billing operations and maintaining positive relationships with clients and insurance providers.

If you have a strong background in billing, attention to detail, and the ability to work independently, we’d love to have you on our team!

Key Responsibilities:

Insurance Verification and Billing:
- Verify client insurance coverage and benefits, ensuring accuracy and completeness.
- Obtain pre-authorizations and document coverage details, co-pays, deductibles, and out-of-pocket expenses.
- Submit and manage claims through electronic or paper submissions, ensuring proper documentation.
- Handle denied claims, investigate issues, and collaborate with insurance companies to resolve them.
- Reconcile claims and payments, review EOBs, and maintain detailed records of transactions.
- Manage accounts receivable, track payments, and pursue delinquent accounts when necessary.
- Maintain HIPAA compliance and ensure all sensitive information is handled securely.

Credentialing:
- Coordinate with insurance companies to credential clinicians and maintain updated provider profiles (e.g., CAQH).
- Ensure timely renewals of credentials and track contract expiration dates.
- Communicate with payors to resolve credentialing-related issues promptly.

Administrative Support:
- Create and maintain a Quality Assurance document for client billing and insurance verification.
- Provide accurate and timely updates on billing processes and insurance-related changes.
- Collaborate with the team to ensure seamless operations and compliance with industry standards.

Requirements:
- At least 2 years of experience in medical billing, preferably in mental health or behavioral health.
- Familiarity with medical coding systems (ICD-10, CPT) and electronic medical record (EMR) systems such as SimplePractice or similar platforms.
- Strong understanding of insurance verification, claims management, and denial resolution.
- Proficiency in Microsoft Office Suite (Excel, Word) and Google Workspace (Sheets, Docs).
- Excellent verbal and written communication skills in English.
- Reliable high-speed internet connection and a secure, dedicated workspace free of distractions.
- Ability to work in the U.S. Eastern Standard Time (EST) zone.
- HIPAA certification or familiarity with patient privacy regulations is a plus.
- Highly organized with exceptional attention to detail and problem-solving skills.

Perks:
- Flexible remote work arrangement.
- Opportunity to join a growing team dedicated to making a difference in mental health.
- Competitive salary ranging from $500–$800 USD per month, based on experience and skill level.
- Professional development and growth opportunities.

Application Process:

During the application process for this position, we will ask you to complete a pre-screening application. Please use “Biller” as the subject line in your email application. This will help us evaluate your experience and skills based on actual work results.

Here’s what we need from you:

Introduction Video – A short video (2-3 minutes) introducing yourself, your experience in medical billing and insurance verification, and why you’re a great fit for this role. Ensure the video is clear and free of background noise.
Resume – A detailed overview of your relevant experience in medical billing, credentialing, and administrative support.
Once your application is reviewed, selected candidates will proceed to a 10-15 minute virtual interview with our project manager and then the CEO.

We are eager to welcome someone who is not just looking for a job but seeking a rewarding and long-term partnership. We look forward to connecting with you and achieving great things together!

Applications without an intro video or resume will not be considered.