Part-Time Neuropsychology Billing & Insurance Coordinator

A busy neuropsychology practice in Berwyn, Pennsylvania is seeking a reliable, detail-oriented Part-Time Neuropsychological Billing & Insurance Coordinator to manage insurance authorization, verification, referrals, billing, and other payment-related functions.

This position plays an important role in ensuring that patients have appropriate insurance authorization prior to services, claims are submitted accurately and promptly, payments are properly tracked, and denied or underpaid claims are identified and resolved. The ideal candidate is organized, persistent, comfortable communicating with insurance companies, and experienced with medical billing and behavioral health or specialty healthcare services.

• Obtain, verify, and communicate insurance eligibility, benefits, deductibles, coinsurance, and coverage information to patients prior to their appointments.
• Determine whether preauthorization, precertification, or a physician referral is required for neuropsychological services and obtain necessary authorizations and referrals.
• Maintain accurate documentation of authorization numbers, approved services, effective dates, visit limitations, and other relevant insurance information.
• Communicate authorization or coverage issues to clinical and administrative staff before services are provided whenever possible.

• Review patient demographics, insurance information, CPT codes, diagnosis codes, modifiers, and other required claim information prior to submission.
• Submit claims electronically or through insurer-specific systems as appropriate.
• Correct and resubmit rejected claims promptly and maintain appropriate documentation regarding claim submissions and corrections.

• Monitor outstanding insurance claims and accounts receivable.
• Review insurance payments, explanations of benefits (EOBs), and electronic remittance advice (ERAs) to confirm that claims have been processed and paid appropriately.
• Post payments to patient accounts and collect outstanding deductibles, co-pays, or other fees due.
• Identify unpaid, delayed, partially paid, or incorrectly processed claims and follow up with insurance carriers as necessary through Optum, Echo, Zelis, Availity, and Novitasphere.
• Track outstanding balances and maintain accurate records regarding the status of claims and anticipated payments.

• Review denied claims to determine the reason for denial and appropriate corrective action.
• Contact insurance carriers to obtain clarification regarding denials, authorization issues, coding concerns, or requests for additional information.
• Correct and resubmit claims when appropriate.
• Prepare and submit reconsideration requests and appeals, including supporting documentation when necessary.
• Track denied claims through resolution and identify recurring denial patterns that may require changes in authorization, documentation, or billing procedures.

• Maintain organized and confidential insurance and billing records in accordance with HIPAA and practice policies.
• Communicate professionally with patients, insurance representatives, referral sources, clinicians, and administrative staff regarding billing and authorization matters.
• Provide weekly updates regarding outstanding claims, denials, and significant reimbursement issues.
• Assist in developing efficient procedures for insurance verification, authorization tracking, billing, and accounts receivable management.

Previous experience with medical billing, insurance verification, preauthorization, claims management, or accounts receivable is strongly preferred. Experience with behavioral health, neuropsychology, psychology, neurology, or another specialty healthcare practice is particularly desirable.

Candidates should have a working knowledge of commercial insurance and Medicare billing procedures, CPT and ICD-10 coding concepts, EOBs/ERAs, deductibles and coinsurance, authorization requirements, claim denials, and appeals. Familiarity with neuropsychological and psychological testing codes is a plus.

The successful candidate must demonstrate excellent attention to detail, strong organizational and follow-through skills, professional written and verbal communication, and the ability to independently manage multiple outstanding claims and insurance issues. Comfort communicating directly with insurance…