Medical Biller

Americare Behavioral Health, LLC is seeking an organized, dependable, and detail-oriented Medical Billing Department Staff member to support the daily billing and financial operations of its behavioral health clinic. This is an in-office position responsible for coordinating with the agency's outsourced medical billing company, monitoring billing activities, preparing financial and billing reports, managing patient copays and outstanding balances, and ensuring that billing-related tasks are completed accurately and on time.

The agency utilizes an outsourced billing company to handle insurance claim submissions. The primary responsibility of the in-house Billing Department Staff member is to provide the outsourced biller with the necessary documentation, information, and administrative assistance to facilitate accurate and timely claim processing. The employee will also monitor billing progress, follow up on outstanding issues, review billing-related reports, and coordinate with clinical and administrative personnel to resolve discrepancies.

In addition, this position is responsible for preparing and submitting copay and outstanding balance reports, collecting patient copays and balances, issuing statements of account to clients, monitoring payments, and maintaining accurate billing and collection records. The role requires regular communication with clients regarding outstanding balances and coordination with the appropriate staff to address billing concerns.

The ideal candidate possesses a Medical Billing Certificate, has experience working in a behavioral health clinic, and demonstrates strong organizational, communication, and problem-solving skills. The candidate must be comfortable handling confidential patient and financial information, managing multiple responsibilities, and ensuring that billing operations run efficiently while supporting the clinic's revenue cycle and financial accountability.

1. Outsourced Billing Coordination and Support

• Serve as the primary in-house point of contact for the outsourced medical billing company regarding day-to-day billing operations.
• Provide requested clinical documentation, patient information, insurance details, authorization records, and other supporting materials needed for claim processing.
• Coordinate with providers and administrative staff to obtain missing notes, signatures, treatment plans, authorizations, or other required documentation.
• Respond promptly to requests from the outsourced biller and follow up on outstanding information or unresolved issues.
• Monitor the status of billing-related tasks and coordinate with the outsourced biller to address rejected claims, denials, missing information, and other billing discrepancies.
• Review reports provided by the outsourced biller and identify missing information, inconsistencies, or items requiring clarification.
• Escalate recurring billing problems, delayed follow-ups, and unresolved discrepancies to the appropriate supervisor or management.
• Maintain organized records of communications, outstanding requests, and completed follow-up tasks.

2. Copay and Patient Balance Management

• Monitor patient copays, deductibles, coinsurance, and other outstanding balances in accordance with the clinic's billing policies and applicable payer requirements.
• Generate and maintain accurate reports of copays and outstanding patient balances.
• Identify clients with unpaid copays, overdue balances, or unresolved payment discrepancies.
• Coordinate with front-desk and administrative staff to ensure copays are collected at the appropriate time.
• Collect and process patient copays and outstanding balances through approved payment methods and procedures.
• Record payments accurately and maintain supporting documentation for all transactions.
• Follow up with clients regarding unpaid balances and communicate payment expectations professionally.
• Refer disputed balances, financial hardship concerns, and other complex billing matters to the appropriate supervisor.
• Reconcile collection records against payment reports and billing system entries to ensure accuracy.

3. Statements of Account and Client Billing Communications

• Prepare and send statements of account to clients with outstanding balances.
• Ensure statements accurately reflect charges, payments received, adjustments, and remaining balances.
• Establish and maintain a consistent schedule for issuing statements and following up on unpaid accounts.
• Respond to routine client inquiries regarding statements,…