Requirements: – Proficiency in using medical billing software, claim submission systems, and electronic health records (EHR) platforms. – Solid understanding of behavioral health coding and billing guidelines (e.g., CPT, HCPCS, ICD-10). – Familiarity with insurance payers’ billing requirements, regulations, and policies. – Excellent attention to detail and organizational skills, with the ability to manage multiple tasks simultaneously and meet deadlines. – Strong analytical and problem-solving abilities to identify and address claim errors or discrepancies. – Effective written and verbal communication skills, with the ability to communicate clearly and professionally with diverse stakeholders. – Demonstrated ability to work independently and collaboratively within a team environment. – Commitment to maintaining confidentiality of sensitive information and adhering to HIPAA regulations.

Responsibilities: – Review and verify the accuracy and completeness of charge documentation for behavioral health services, ensuring compliance with coding and billing guidelines. – Prepare and submit electronic or paper claims to insurance payers, adhering to specific payer requirements and regulations. – Monitor and track claim submissions to ensure their timely processing and identify any potential issues or rejections. – Identify and address claim errors or discrepancies, collaborating with internal teams to resolve issues and resubmit claims when necessary. – Communicate with insurance companies, payers, and other relevant parties to follow up on outstanding claims and provide additional information as required. – Stay up to date with the latest coding and billing regulations, payer policies, and industry best practices to ensure accurate claim submissions. – Collaborate with cross-functional teams to gather and analyze data related to claim denials, rejections, and other revenue cycle metrics, and suggest process improvements to minimize future issues. – Maintain comprehensive and accurate documentation of claim activities, interactions, and resolutions in internal systems. – Provide exceptional customer service to internal and external stakeholders, addressing inquiries and resolving issues promptly and professionally.