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Billing and Claims Processing
- Prepare and submit electronic and paper insurance claims for therapy sessions and psychiatric services.
- Ensure accuracy of billing codes (CPT, ICD-10, HCPCS) related to mental health services.
- Track claims and resolve any billing issues that arise.
- Verify patient insurance benefits and eligibility.
- Obtain pre-authorizations and re-authorizations for services.
- Communicate with clients about coverage limits and claim approvals.
- Review and follow up on unpaid claims, including denials and appeals.
- Prepare and send patient statements and follow up on overdue payments.
- Set up payment plans and assist with patient financial inquiries.
- Maintain billing records in compliance with company policies and HIPAA regulations.
- Participate in audits, identify billing errors, and implement preventative solutions.
- Respond to patient and provider inquiries regarding billing issues.
- Work with insurance companies to resolve claim disputes.
- Strong English communication skills (written and verbal).
- High attention to detail with strong knowledge of mental health billing codes (CPT, ICD-10).
- Understanding of insurance policies and billing procedures, especially in mental health services.
- Education: High school diploma or equivalent; medical billing/coding certification preferred.
- Experience: Minimum 2 years of medical billing experience, preferably in mental health or healthcare settings.
- Skills:
- Proficiency in medical billing software and EMR systems.
- Knowledge of HIPAA and mental health billing regulations.
- Strong organizational, communication, and analytical skills.
- Ability to work well in a team and grow into a leadership role.
Billing and Claims Processing
- Prepare and submit electronic and paper insurance claims for therapy sessions and psychiatric services.
- Ensure accuracy of billing codes (CPT, ICD-10, HCPCS) related to mental health services.
- Track claims and resolve any billing issues that arise.
- Verify patient insurance benefits and eligibility.
- Obtain pre-authorizations and re-authorizations for services.
- Communicate with clients about coverage limits and claim approvals.
- Review and follow up on unpaid claims, including denials and appeals.
- Prepare and send patient statements and follow up on overdue payments.
- Set up payment plans and assist with patient financial inquiries.
- Maintain billing records in compliance with company policies and HIPAA regulations.
- Participate in audits, identify billing errors, and implement preventative solutions.
- Respond to patient and provider inquiries regarding billing issues.
- Work with insurance companies to resolve claim disputes.
- Strong English communication skills (written and verbal).
- High attention to detail with strong knowledge of mental health billing codes (CPT, ICD-10).
- Understanding of insurance policies and billing procedures, especially in mental health services.
- Education: High school diploma or equivalent; medical billing/coding certification preferred.
- Experience: Minimum 2 years of medical billing experience, preferably in mental health or healthcare settings.
- Skills:
- Proficiency in medical billing software and EMR systems.
- Knowledge of HIPAA and mental health billing regulations.
- Strong organizational, communication, and analytical skills.
- Ability to work well in a team and grow into a leadership role.