The specialist will manage the end-to-end billing cycle for a mental health practice, including claim submission, denial management, and A/R follow-up. They are also responsible for posting insurance payments and ensuring all coding adheres to documentation and payer requirements.
This is a remote position.
Job Summary
RCM Staff BPO is hiring a part-time Medical Billing Specialist to support a mental health practice based in Connecticut.
The specialist will handle day-to-day billing for a multi-provider outpatient practice, from claim submission through payment and denial follow-up. This role requires strong attention to detail, consistent follow-up, and experience working with U.S. health insurance plans.
Key Responsibilities
Review encounters and charges for accuracy before claim submission
Submit clean claims through the practice management system and clearinghouse
Work clearinghouse and payer rejections and resubmit corrected claims
Follow up on unpaid and underpaid claims through payer portals and phone calls
Research denials, correct and resubmit claims, and prepare appeals when needed
Post insurance payments and adjustments from ERAs and EOBs
Verify CPT, HCPCS, and ICD-10-CM codes against documentation and payer rules
Work aging A/R reports and prioritize accounts by age and dollar value
Document all account activity clearly in the billing system
Protect patient information and follow HIPAA requirements
Qualifications
At least 2 years of experience with U.S. healthcare insurance
Hands-on experience with claim submission, denial management, and A/R follow-up
Working knowledge of CPT, HCPCS, and ICD-10-CM coding
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
AAPC CPC or CPB certification
Experience billing for psychiatry, behavioral health, or mental health practices
Experience using glaceEMR (Glenwood Systems)
Familiarity with Connecticut insurance plans, such as HUSKY Health (Connecticut Medicaid)
Experience with psychiatric evaluation, medication management, and psychotherapy add-on codes
Schedule
Part-time position, approximately 20 hours per week
Must be available during Eastern Time business hours
Final schedule will be determined based on practice needs
“I was the first applicant for a remote marketing position that got listed on the company website the same day I applied. Had an interview within 48 hours!”
— Sarah J.
·
Marketing Manager
★★★★★
Verified
