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

● Support inbound call handling if admin staff are unavailable

● Transfer calls appropriately

● Maintain organized documentation Systems Used

● Healthy (EHR)

● ClaimMD (Clearinghouse) Experience with similar EHR and clearinghouse systems is acceptable.

The candidate must be quick to learn new systems (cross-training provided).

Required Qualifications

● 1–2+ years medical billing experience (healthcare required)

● Strong understanding of claims, coding basics and modifiers

● Experience submitting claims and handling denials

● Healthcare background required (mental health experience a plus)

● HIPAA compliance knowledge

● Strong data analysis and reporting skills

● Excellent English communication (minimal accent preferred)

● Confident phone presence

● Highly proactive and self-directed

Preferred Qualifications

● Mental health billing experience

● Spanish-speaking ability (bonus, not required)

● Experience reducing A/R significantly

● Experience working in smaller clinics or growing practices

● Male candidate preferred (to support balance in patient interactions), but strong female candidates will be considered 

USD 800 - 1,100 per-month-salary

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