Behavioral Health Biller - advancedMD
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AI Summary
The biller manages the end-to-end revenue cycle in AdvancedMD, including charge entry, claim submission, denial resolution, and payment posting. They are also responsible for verifying eligibility, tracking authorizations, and maintaining accurate documentation for behavioral health services.
This is a remote position.
RCM Staff BPO is hiring a full-time Behavioral Health Biller to support a behavioral health practice based in Texas.
The biller handles the account's day-to-day revenue cycle in AdvancedMD, from charge entry and claim submission through denial work, appeals, payment posting, and A/R follow-up. This role requires hands-on behavioral health billing experience, strong attention to detail, consistent follow-up, and experience working with U.S. health insurance plans.
Key Responsibilities
* Enter charges and submit clean claims in AdvancedMD
* Work clearinghouse rejections and correct claims for resubmission
* Review and resolve denials, including preparing and submitting appeals
* Follow up on aged payer A/R and document every account touch
* Post insurance and patient payments, including ERA and EOB reconciliation
* Verify eligibility and benefits for behavioral health services when needed
* Track authorizations and session limits so claims are not denied for exhausted units
* Identify recurring denial patterns and report them to the account lead
* Maintain accurate notes, reference numbers, and payer call logs
* Protect patient information and follow HIPAA requirements
Qualifications
* At least 2 years of experience with U.S. healthcare insurance billing
* Hands-on denial management and A/R follow-up experience
* Familiarity with commercial insurance and government health plans
* Experience using payer portals and insurance websites
* Strong written and spoken English
* Excellent attention to detail and follow-up skills
* Ability to work independently and manage multiple patient accounts
* Reliable internet connection and a suitable remote workspace
Preferred Qualifications
* Experience billing for behavioral health, mental health, or substance use practices
* Experience using AdvancedMD
* Familiarity with Texas commercial and Medicaid plans
* Understanding of behavioral health CPT codes, time-based session billing, and authorization tracking
Schedule
* Full-time position
* Must be available during U.S. Central Time business hours
* Final schedule will be determined based on practice needs
Work Arrangement
* Remote
* Philippines-based applicants preferred
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