Mental Health Biller

Title: Mental Health Biller

Reports to: Lead Mental Health Biller and Manager

Job Purpose:

A mental health biller manages the billing process for mental health services provided by the agency or practitioner, ensuring accurate insurance claim submissions, tracking patient payments, and following up on outstanding balances to ensure the practice receives proper reimbursement for services rendered to patients with mental health needs.

Hours:

The Biller must be available to work Monday – Friday. Must also maintain a flexible schedule and be available to work early mornings and days.

Duties and Responsibilities:

• Process Medicare, Medicaid, and private insurance claims and verify insurance information and authorizations for all clinical appointments.
• Accurately translate mental health diagnoses and treatment codes (based on ICD-10 and CPT codes) to submit to insurance companies.
• Keep track of all denials for New Mexico (consistent with calling to obtain the status of denials, resubmissions, and/or payments).
• Record received payments from insurance companies and patients, updating patient accounts accordingly.
• Submit billing data to the appropriate insurance providers
• Prepare and electronically submit insurance claims to various payers, ensuring all necessary patient information and billing details are correct.
• Monitor the status of submitted claims, identify errors or denials, and take necessary steps to resolve issues with insurance companies.
• Achieve maximum reimbursement for services provided.
• Generate patient statements, including copayments and deductibles, and manage patient billing inquiries.
• Provide billing reports on a weekly basis for all departments, including weekly billing goals, denials, and aging.
• Monitor accounts, working with patients to develop payment arrangements, and pursuing delinquent accounts.
• Stay updated on billing regulations and guidelines related to mental health services to ensure accurate and compliant billing practices.
• Provide support to the office and professional staff, including answering phones, scheduling, rescheduling, and confirming appointments for (doctors, PhD, nurse practitioners, and/or therapists) as needed.
• Maintain confidentiality and comply with all HIPAA requirements.

Qualifications

• High School Diploma, Associate Degree preferred.
• Two years of recent experience in healthcare preferred.
• Proficient knowledge of Microsoft Office, including MS Excel and MS Word.
• Proficient in electronic medical records.
• Bilingual Preferred

Knowledge, Skills, and Abilities

• High interpersonal skills: must have excellent oral and written communication skills.
• Basic computer skills, such as sending emails, typing, and using spreadsheets.
• Interact virtually with clients and/or staff.
• Creative problem-solving skills.
• Work independently.
• Collaborate well with others.
• Multitask.
• Ability to exercise initiative, judgment, and decision-making in meeting the organization’s objectives.
• Maintain HIPAA compliance for Amanecer Community Counseling Center policies and procedures, client records, and other paperwork.

Unusual Physical Demands and Job Conditions

While performing the duties of this job, the employee is occasionally required to stand, walk, and sit for extended periods; reach for tools and objects with hands and arms; stop, kneel, and crouch; and talk and hear. The employee must occasionally lift up to 25 pounds. The employee must be able to see up close and at a distance, use peripheral vision and depth perception, and look at, read, and use a computer/laptop for long periods.

The employee's signature below constitutes the employee’s understanding of the requirements, essential job functions, and duties of the position. I acknowledge receipt of this job description; my supervisor discussed it with me.

Pay: From $15.00 per hour

Benefits:

• Health insurance
• Paid time off

Work Location: In person

Salary : $15