Medical Biller

About us:

We are a busy and growing psychiatry practice committed to providing high-quality mental health care across New York & North Carolina. Our team values professionalism, efficiency, and a patient-centered approach, and we are looking for a skilled Medical Biller & Coder to join our team.

Position Overview:

We are seeking a detail-oriented and organized Medical Biller to join our busy multi-provider psychiatry practice. The Medical Biller will be responsible for managing the full revenue cycle, ensuring accurate claim submission, timely payment processing, and effective follow-up with insurance companies and patients. The ideal candidate will have experience with medical billing, credentialing, strong knowledge of insurance guidelines, and the ability to work efficiently in a fast-paced healthcare environment.

Key Responsibilities:

• Verify patient insurance eligibility and benefits prior to claim submission
• Review and correct claim errors, denials, and rejections
• Follow up with insurance companies regarding unpaid or underpaid claims
• Post insurance and patient payments accurately in the billing system
• Identify trends in denials or downcoding and report them to management
• Work closely with providers to ensure documentation supports billed services and coding requirements
• Manage patient billing inquiries and assist with resolving account discrepancies
• Generate and review aging reports and follow up on outstanding balances
• Ensure compliance with HIPAA, payer regulations, and billing guidelines
• Maintain uptodate knowledge of behavioral health billing codes and payer policies
• Assist with credentialing updates or payer enrollment when necessary
• Collaborate with administrative staff to resolve scheduling or insurance issues impacting billing
• Answer patient questions regarding their bills

Required Qualifications:

• Minimum 5 years of medical billing experience (behavioral health or psychiatry preferred)
• Credentialing Experience
• Knowledge of CPT, ICD10, and behavioral health billing codes (e.g., psychiatric evaluation, medication management, psychotherapy addon codes)
• Experience working with commercial insurance & Medicare,
• Familiarity with ECW preferred and billing software systems
• Strong attention to detail and problemsolving skills
• Excellent communication and organizational skills
• Ability to manage multiple tasks in a fastpaced environment

Preferred Qualifications:

• Experience billing for psychiatric services and if not, at least 3 years experience in medical billing
• CPC (Certified Professional Coder), CCS, or similar certification preferred
• Experience with multistate insurance billing
• Understanding of telehealth billing regulations

Work Environment:

• Fastpaced psychiatry practice with multiple providers
• Frequent interaction with insurance companies, administrative staff, and clinical providers
• Combination of independent work and team collaboration

Key Skills:

• Revenue cycle management
• Insurance claims processing
• Denial management
• Behavioral health coding
• Attention to detail
• Time management and organization