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Administrative & Medical Billing Specialist (Behavioral Health) – Remote (Part-Time, Flexible)
Job Overview
We are seeking a dedicated and detail-oriented Administrative & Medical Billing Specialist with expertise in Behavioral Health to join our team remotely on a part-time, flexible basis. In this role, you will be the vital link ensuring accurate billing, coding, and documentation for behavioral health services. Your proactive approach will help streamline administrative workflows, improve revenue cycle management, and support our mission to provide exceptional mental health care. This position offers the opportunity to work from home while making a meaningful impact in the healthcare industry.
Responsibilities
- Review and process medical claims using CPT (Current Procedural Terminology) codes, ICD-9, ICD-10, and ICD coding standards to ensure accurate billing for behavioral health services.
- Verify insurance coverage and eligibility, submitting claims through Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems efficiently.
- Manage medical records and documentation, ensuring compliance with privacy regulations and maintaining precise records of all billing activities.
- Follow up on unpaid claims and outstanding medical collections to optimize revenue recovery.
- Collaborate with clinical staff to clarify documentation or coding discrepancies and ensure proper coding practices are followed.
- Stay current with updates in medical terminology, coding guidelines, and insurance policies relevant to behavioral health billing.
- Assist with administrative tasks such as scheduling, data entry, and maintaining organized billing files to support smooth office operations.
- Work within CMS and Impact systems for billing-related tasks
- Use Availity for eligibility checks, claim status, denials follow-up, and payer messaging
- Manage credentialing and re-credentialing processes and deadlines
- Complete/maintain CAQH profiles and assist with payer enrollment submissions
Qualifications
- Proven experience in medical billing within behavioral health or mental health settings.
- Strong knowledge of CPT coding, ICD-9, ICD-10, and ICD coding standards.
- Familiarity with EMR systems, EHR platforms, and medical office software.
- Excellent understanding of medical terminology, medical records management, and healthcare documentation practices.
- Experience with medical collection processes and insurance claim submissions.
- Ability to interpret complex insurance policies and ensure compliance with billing regulations.
- Prior experience working remotely is preferred but not required; strong organizational skills are essential. Join us in this rewarding role where your expertise will directly contribute to delivering quality mental health services while enjoying the flexibility of a remote part-time schedule!
Job Type: Part-time
Pay: $20.00 - $25.00 per hour
Expected hours: No more than 25 per week
Benefits:
- Flexible schedule
- Paid time off
Application Question(s):
- 1. How many years of experience do you have in medical billing and credentialing?
2. Do you have hands-on experience with CMS and Impact systems? If yes, briefly describe.
3. Are you familiar with Availity (eligibility, claim status, denials follow-up)? Yes/No
4. Do you have experience managing CAQH provider profiles and credentialing timelines? Yes/No
5. Have you worked with TherapyNotes or another EHR? If yes, which one(s)?
Work Location: Remote
