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RCM - Psychiatric Billing Specialist

Posted 20 days ago
Worldwide
2-5 years experience
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AI Summary

The specialist will manage end-to-end revenue cycle operations, including insurance eligibility verification, claim handling, and denials management. They will also maintain financial reports and facilitate clear communication with patients and insurance carriers regarding billing responsibilities.

Our client is looking for a RCM - Psychiatric Billing Specialist to manage their end-to-end billing operations. Operating within the behavioral healthcare sector, they have built a strong reputation in recent years by expanding access to advanced psychiatric treatments and telepsychiatry services across multiple clinics. In this vital position, the specialist will oversee both patient-facing and insurance-facing revenue cycle processes, ensuring accurate claim handling, clear communication of financial responsibilities, and proactive resolution of denials within a fast-paced clinical environment.

Responsibilities

  • Manage full-cycle Revenue Cycle Management (RCM) across both patient and insurance workflows, with a strong emphasis on front-end operations.
  • Conduct thorough insurance eligibility and benefits verifications, clearly communicating financial responsibilities such as deductibles, HSA, and FSA details to patients.
  • Handle direct patient interactions and outbound calls to insurance carriers with professionalism and clarity.
  • Oversee denials management and actively work claims well ahead of timely filing limits, proactively proposing solutions and options rather than waiting for direction.
  • Review claims, verify account balances, and generate accurate patient statements within the eClinicalWorks (eCW) EMR system.
  • Build and maintain financial and billing reports using Microsoft Excel or Google Sheets.
  • Participate in weekly operational and reporting meetings with the practice leadership to review billing performance and account statuses.

Requirements

Requirements

  • At least 2 to 3 years of recent, proven work experience in psychiatric or mental health billing across full-cycle RCM.
  • Hands-on proficiency with the eClinicalWorks (eCW) EMR platform.
  • Active HIPAA certification alongside comprehensive knowledge of HIPAA regulations, ICD-10, and CPT coding.
  • Strong proficiency in Microsoft Excel and Google Sheets for building and tracking reports.
  • Exceptional spoken and written English communication skills with professional phone etiquette for patient and insurance interactions.
  • Dedicated, full-time availability with no outside work commitments and a reliable remote technical setup.

Qualifications

  • Proven background or familiarity with Medicare billing processes and guidelines.
  • Familiarity with healthcare communication and telehealth tools such as BTexting, Doxy, Lyra, and ComPsych.
  • Proactive, self-starting mindset with the ability to take initiative and lead conversations regarding claim resolution options.
  • Fast learner who retains complex billing information effectively and remains composed under pressure in a fast-paced environment.

Benefits

Benefits

  • Full-time dedication.
  • 100% remote work setup.
  • Consistent daytime working schedule (9:00 AM to 5:00 PM CST).
  • Opportunity to collaborate directly with clinic leadership and make a meaningful operational impact within an established mental health practice.

This is a remote position.

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