Medical Biller (ZR_23483_JOB)

This is a remote position.

Final schedule to be discussed. Applicants must be available to work within the window of 7:00 AM to 4:00 PM Pacific Time (PT) to align with our California client’s hours.

Total Weekly Hours: 20 hours

Our client is a California-based company committed to delivering exceptional outpatient behavioral and mental health services across the state. They are seeking a highly detail-oriented and experienced Medical Biller to join their expanding team. This fully remote role plays a vital part in ensuring the accurate and timely processing of medical claims, specifically within the behavioral and mental health sector.

If you're a dedicated professional with proficiency in billing software, deep knowledge of behavioral health coding, and a drive to maximize revenue and reduce claim denials, we encourage you to apply!

• Claim Submission & Verification: Accurately prepare and submit claims for behavioral and mental health services to insurance companies (commercial, Medicare, Medicaid, etc.), both electronically and manually. Verify patient demographics and behavioral health insurance benefits.
  

• Payment Posting & Reconciliation: Post payments from EOBs, ERAs, and patient transactions accurately to the correct accounts.
  

• Denial Management & Follow-Up: Investigate and follow up on unpaid or denied claims. Address issues such as authorization problems and mental health coding errors. Submit appeals and corrected claims as needed.
  

• Discrepancy Resolution: Resolve billing discrepancies and rejections promptly to support full revenue recovery for behavioral health services.
  

• Accounts Receivable Management: Manage accounts receivable, including collections from both patients and insurance providers.
  

• Patient & Payer Communication: Serve as a professional point of contact for billing-related inquiries from patients and insurance carriers. Handle sensitive behavioral health information with discretion.
  

• Compliance & Reporting: Maintain full compliance with HIPAA regulations. Generate financial and billing reports as required. Stay up to date with California billing regulations for behavioral health.
  

• Proven experience as a Medical Biller, with specialized experience in behavioral or mental health outpatient billing highly preferred.
  

• Solid understanding of medical billing, insurance processes, and revenue cycle management.
  

• Proficiency in medical billing software and EHR systems used in behavioral health settings.
  

• Strong knowledge of CPT, ICD-10, and HCPCS codes related to mental and behavioral health services.
  

• Familiarity with insurance guidelines and reimbursement policies for commercial, Medicare, and Medicaid plans in California.
  

• Excellent analytical and problem-solving skills with high attention to detail.
  

• Strong communication skills with the ability to interact professionally with patients, insurance companies, and internal teams.
  

• Self-motivated and capable of managing time effectively in a remote setting.
  

• Professionalism and strict adherence to patient confidentiality and HIPAA regulations.
  

• Permanent work-from-home setup
  

• Immediate hiring
  

• Steady freelance opportunity