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La Tanya Wallace, Nurse Practitioner

La Tanya Wallace, NP &amp; Associates is seeking an experienced Behavioral Health Billing Reconciliation Consultant to perform a focused revenue-cycle review for a small outpatient psychotherapy and psychiatry practice.Our practice currently sees approximately 30 client visits per week across therapy and psychiatric services billed primarily through insurance. We are seeking a consultant to review claims activity, identify revenue leakage, and help resolve specific billing issues, including Medicare claims that have been marked as unprocessable.This is a short-term diagnostic and reconciliation project, not a full outsourced billing engagement.Scope of WorkThe selected consultant will:<ul><li>Review recent claims activity for therapy and psychiatry services</li><li>Investigate Medicare claims marked unprocessable</li><li>Review clearinghouse rejections and denials</li><li>Reconcile visits completed vs claims submitted and adjudicated</li><li>Review ERA/EFT alignment and payment posting</li><li>Identify payer-specific billing or workflow issues</li><li>Estimate recoverable vs likely lost revenue</li><li>Provide a short written summary of findings and recommended next steps</li><li>Optionally assist with correcting and resubmitting recoverable claims</li></ul>Initial review scope will focus on the most recent 90&ndash;120 days of billing activity.Required ExperienceCandidates must have experience with:<ul><li>Behavioral health / psychotherapy / psychiatry billing</li><li>Medicare Part B billing and claim troubleshooting</li><li>ERA / EOB interpretation</li><li>Denial and rejection analysis</li><li>Clearinghouse rejection reports</li><li>Insurance payment reconciliation</li></ul>Preferred ExperienceStrong preference will be given to candidates with:<ul><li>Experience auditing revenue cycle workflows for small outpatient practices</li><li>Familiarity with telehealth billing and modifiers</li><li>Experience working with psychotherapy and medication management billing</li><li>Independent contractor billing or consulting experience</li></ul>Engagement Structure<ul><li>Contract / project-based</li><li>Remote</li><li>Initial review estimated at 8&ndash;12 hours</li><li>Potential short-term follow-up work for claim correction and recovery</li></ul>How to ApplyPlease include:<ul><li>Resume</li><li>Summary of behavioral health billing experience</li><li>Brief description of similar reconciliation or cleanup work you have completed</li><li>Your preferred hourly or project pricing</li></ul>Important Note to ApplicantsThis project focuses specifically on behavioral health billing reconciliation and Medicare claim troubleshooting. Please apply only if you have direct experience with therapy or psychiatry billing and denial resolution.Pay: $25.00 - $35.00 per hourApplication Question(s):<ul><li>How many years of experience do you have specifically billing for behavioral health services such as psychotherapy (e.g., 90834, 90837) or psychiatric medication management?</li><li>Briefly describe your typical workflow for reviewing and resolving denied or rejected insurance claims.</li><li>If a Medicare claim is returned as &ldquo;unprocessable&rdquo;, what are two common causes you would investigate first?</li><li>How would you verify that visits completed were actually billed and paid?</li></ul>Work Location: Remote

Behavioral Health Revenue Cycle Consultant (Contract | Audit + Claims Reconciliation)

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La Tanya Wallace, Nurse Practitioner

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Behavioral Health Revenue Cycle Consultant (Contract | Audit + Claims Reconciliation)