Mental Health & Behavioral Health Medical Biller​/Claims Processor

We are seeking an experienced Mental Health & Behavioral Health Medical Biller / Claims Processor to join our small, collaborative billing team. This position will primarily support the day-to-day medical billing and claims process for mental health and behavioral health providers.

The ideal candidate will have strong knowledge of behavioral health billing, insurance claims processing, payer requirements, claim follow-up, payment posting, and accounts receivable. Because this is a small company, the individual in this role must be comfortable working independently, managing priorities, identifying billing issues, and communicating professionally with both internal team members and providers.

Recent hands-on experience with Simple Practice is a mandatory requirement for this position.

The successful candidate should be able to step into the role with minimal training and understand the workflow associated with behavioral health claims from submission through payment or resolution.

Candidates must meet all of the following requirements to be considered:

• Minimum of 2 years of recent, hands-on Simple Practice experience.
• Must have used Simple Practice for medical billing and/or revenue cycle functions within the past year
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• Experience should include actual day-to-day use of the platform rather than limited exposure or administrative familiarity.
• Must be comfortable navigating Simple Practice billing functions, claims, payments, patient balances, and related billing workflows.

• Minimum of 5 years of experience in mental health and/or behavioral health medical billing and claims processing.
• Strong understanding of behavioral health insurance billing and revenue cycle processes.
• Experience working with commercial insurance, Medicare and/or Medicaid is highly desirable.
• Understanding of behavioral health CPT/service codes, claim requirements, payer guidelines, and common billing issues.

• Minimum of 12 months of remote work experience.
• Demonstrated ability to work independently, manage workload and deadlines, communicate effectively, and remain productive without direct in-person supervision.

Demonstrated experience with:

• Electronic claim submission
• Claim status verification
• Claim rejection and denial resolution
• Corrected claims
• Claim follow-up
• EOB/ERA review
• Payment posting
• Patient responsibility
• Copays, deductibles, and coinsurance
• Accounts receivable follow-up
• Insurance verification and/or benefits review
• Identifying and resolving billing discrepancies

The following qualifications are preferred but not required :

• Certified Revenue Cycle Management professional or similar billing/RCM certification
• CRMF
• CCD
• Other recognized medical billing, coding, or revenue cycle certifications

• Associate degree or relevant coursework in:
• Medical Billing
• Medical Coding
• Health Information Management
• Healthcare Administration
• Revenue Cycle Management
• Associate Degree in Medical Billing or related program is preferred.

• Experience working specifically with behavioral health practices, therapists, psychologists, psychiatrists, counselors, or other mental health providers.
• Experience with multiple insurance payers and payer portals.
• Experience working with additional EHR/EMR or practice management systems.
• Experience with denial management and aging accounts receivable.
• Experience working with small businesses or independent healthcare practices.

The Medical Biller / Claims Processor will be responsible for supporting the complete billing and claims lifecycle, including:

• Prepare and submit clean electronic claims.
• Review claims for accuracy prior to submission.
• Monitor claim acceptance and rejection reports.
• Identify and correct claim errors.
• Submit corrected claims when necessary.
• Follow up on unpaid, underpaid, rejected, and denied claims.
• Research payer requirements and resolve claim issues.

• Verify claim status through payer websites and/or other available resources.
• Review EOBs and ERAs for accuracy.
• Identify discrepancies between expected and actual reimbursement.
• Research payment variances and underpayments.
• Track outstanding insurance balances.
• Follow up on aging claims and accounts receivable.
• Document claim activity and follow-up appropriately.