Medical Billing & Revenue Cycle Specialist (Mental Health Clinic)
About the Practice Our client is an outpatient mental health facility providing medication management services for patients experiencing depression, anxiety, and other psychiatric conditions. We are seeking a highly competent Medical Billing & Revenue Cycle Specialist to take ownership of claims management, denial follow-ups, invoicing, reconciliation, and reduction of Accounts Receivable (A/R). This role is essential to maintaining financial health and operational efficiency.
This is not an entry-level billing role. We are looking for someone proactive, analytical and driven, someone who completes tasks before being asked.
Role Overview The primary focus of this role is:
● Medical billing
● Claims submission & denial management
● A/R reduction
● Patient billing support
● Revenue cycle optimization
There will be occasional crossover with administrative support when needed (prior authorizations, call handling).
The ideal candidate is:
● Detail-driven
● Highly accountable
● Direct and solution-oriented
● Comfortable speaking up
● Not sales-focused, but results-focused Core Responsibilities
Medical Billing & Claims Management
● Submit insurance claims accurately and timely
● Follow up on claim denials and rejections
● Resolve billing discrepancies
● Track and reduce A/R balances
● Reconcile payments and patient invoices
● Monitor billing trends and identify patterns
Revenue Cycle & Data Analysis
● Analyze billing data to identify inefficiencies
● Review claims performance metrics
● Suggest process improvements
● Maintain accurate billing reports
● Ensure compliance with payer requirements
Patient Billing Support
● Handle patient calls regarding eligibility and billing questions
● Follow up on delayed or outstanding invoices
● Communicate clearly and confidently with patients
● Address billing concerns professionally
● Escalate complex issues when necessary
Administrative Crossover Support
● Assist with prior authorizations
●...