Current Medical Billing is seeking to hire a Part-Time Medical and Behavioral Health Biller.

The ideal candidate will be highly organized and able to effectively manage multiple responsibilities and tasks on a daily basis. This position requires strong knowledge and demonstrated experience in medical billing, medical coding, Accounts Receivable (AR), and collections, including both insurance and patient balances. Previous Medical and Behavioral Health billing experience is required.

The successful candidate will demonstrate strong communication and customer service skills and will be responsible for maintaining clear and professional communication with the clinical team, administrative staff, patients, and insurance representatives. The ideal candidate should be comfortable communicating with insurance carriers to verify benefits, follow up on claims, address denials and payment discrepancies, and resolve outstanding balances and claims.

Qualified candidates will be dependable, well-organized, detail-oriented, ethical, and professional, with the ability to work independently while also contributing effectively as a member of a collaborative team. Strong customer service skills, professionalism, and a commitment to maintaining patient confidentiality are essential.

Duties:

Submit and drop insurance claims daily to ensure timely and accurate processing by insurance carriers.
Work claims, holds, rejections, and billing issues to ensure claims are corrected and processed for payment.
Monitor claims that are 90–120+ days outstanding and proactively follow up on aging claims to resolve issues and obtain payment.
Perform individual patient account analysis and respond to patient billing questions in a professional and timely manner.
Assist with monitoring and actively collecting outstanding patient balances owed to the practice.
Track insurance denials and notifications and maintain an accurate claims tracking system for denied and outstanding claims.
Bill and follow up with private and commercial insurance carriers, including Aetna, Anthem, Blue Shield, Cigna, Medicare, MHN, Medi-Cal, TRICARE, TriWest, and other applicable payers.
Verify and monitor patient insurance eligibility and benefits prior to the initial intake appointment and communicate benefit information and financial responsibility to patients.
Create and maintain accurate patient cards on file to facilitate timely collection of patient payments.
Perform patient collections and follow up on outstanding balances in accordance with practice policies.
Review missing and unsubmitted claims monthly with clinicians and ensure all claims are submitted accurately and within required timeframes.
Review EOBs/ERAs, post insurance and patient payments accurately and regularly, and reconcile accounts as needed.
Review insurance payments and fee schedules to identify underpayments, discrepancies, and reimbursement issues.
Review clinical documentation and billing information to ensure appropriate coding and required documentation are submitted with claims.
Maintain strong working knowledge of Accounts Receivable (AR) and proactively manage outstanding balances and aging accounts.
Perform insurance verification across multiple carriers and payer platforms and confidently communicate with insurance representatives to obtain eligibility, benefits, claim status, and resolution of outstanding issues.
Provide exceptional customer service to patients, clinicians, insurance representatives, and other stakeholders while maintaining professionalism and confidentiality.

Qualifications:

Previous Billing experience (5 years minimum) with primary experience in Medical and Behavioral Health.
Education Requirements: Associate degree minimum.
Proven reliability and great attendance.
Well organized, attentive to details, and able to handle multiple expected tasks/deadlines.
Previous use of Medisoft, Office Ally, Simple Practice, and Therapy Notes billing software.
Knowledge of Microsoft Office products.
Ability to work remotely with attendance to weekly meetings.
Strong knowledge and practical understanding of Account Receivable (AR).
Experience communicating with insurance companies and payers to research, follow up on, and resolve outstanding claims, including addressing denials, payment discrepancies, documentation requests.

Job Type: Part Time 20 hours per week
Pay: $20/hr

Benefits:

401(k).
401(k) matching.
Health, Dental, Vision Benefits
Employee discount program
Sick Time.
Time off on Federal Holidays.

Schedule:

Monday-Thursday 9:00am-2:00pm PST

WAVE Therapy

Medical and Behavioral Health Biller Assistant

About the Job