Full Cycle Medical Biller – Mental Health Services

Position Summary

The Full Cycle Medical Biller is responsible for managing the complete revenue cycle for outpatient mental health services. This position ensures timely and accurate billing, claims processing, payment posting, denial management, and collections while maintaining compliance with federal, state, payer, and HIPAA regulations. The ideal candidate has experience with behavioral health billing, insurance verification, and reimbursement processes across commercial insurance, Medicaid, Medicare, and private pay accounts.

Essential Duties and Responsibilities

• Manage the full medical billing cycle from patient registration through final payment resolution.
• Verify patient insurance eligibility, benefits, authorizations, and coverage prior to services.
• Submit clean electronic and paper claims for outpatient mental health and behavioral health services.
• Review claims for coding accuracy, documentation requirements, and payer-specific billing guidelines.
• Monitor claim status and follow up on unpaid, rejected, or denied claims.
• Investigate and resolve billing discrepancies, claim rejections, and payment variances.
• Prepare and submit corrected claims and appeals with supporting documentation.
• Post insurance payments, patient payments, contractual adjustments, and refunds accurately.
• Reconcile accounts receivable and maintain aging reports to ensure timely collections.
• Communicate with insurance companies regarding claim status, authorizations, and reimbursement issues.
• Contact patients regarding outstanding balances and establish payment arrangements when appropriate.
• Maintain accurate patient billing records within the electronic health record (EHR) and practice management system.
• Ensure compliance with HIPAA, CMS regulations, payer policies, and organizational procedures.
• Collaborate with providers, clinical staff, and administrative personnel to resolve documentation or billing issues.
• Generate billing, collections, and accounts receivable reports for management review.
• Stay current on behavioral health billing regulations, CPT, ICD-10-CM, and HCPCS coding updates.

Required Qualifications

• High school diploma or equivalent; associate degree preferred.
• Minimum of 2–3 years of full cycle medical billing experience.
• At least 1 year of behavioral health or mental health billing experience preferred.
• Strong knowledge of CPT, ICD-10-CM, and HCPCS coding.
• Experience billing Medicare, Medicaid, commercial insurance, and private pay.
• Working knowledge of electronic medical records (EHR) and medical billing software.
• Proficiency in Microsoft Office, particularly Excel and Outlook.
• Excellent organizational, analytical, and problem-solving skills.
• Strong attention to detail and accuracy.
• Effective verbal and written communication skills.
• Ability to prioritize workload and meet deadlines in a fast-paced environment.

Preferred Qualifications

• Experience with behavioral health EHR systems such as TherapyNotes, Valant, Credible, Kareo, AdvancedMD, or Athenahealth.
• Knowledge of mental health authorizations, telehealth billing, and payer-specific behavioral health requirements.

Key Competencies

• Revenue cycle management
• Insurance verification
• Claims submission and processing
• Denial management and appeals
• Accounts receivable management
• Payment posting and reconciliation
• Customer service
• HIPAA compliance
• Time management
• Attention to detail
• Problem solving

Physical Requirements

• Prolonged periods of sitting and computer use.
• Ability to communicate effectively by telephone and email.
• Occasionally lift or move up to 15 pounds.

Work Environment

This position may be performed in an office. The role requires maintaining confidentiality while working with protected health information and collaborating with clinical and administrative teams to support efficient revenue cycle operations.

Pay: From $47,840.00 per year

Benefits:

• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person