Medical Biller

URGENT: Experienced Psychiatric Billing Team Needed Immediately (US-Based)

DO NOT APPLY IF INTERVENTIONAL PSYCHIATRY EXPERIENCE DOES NOT REFLECT ON YOUR RESUME. YOU WILL BE DISQUALIFIED IMMEDIATELY.

We are actively seeking an experienced, US-based mental health billing team to handle comprehensive billing operations for an outpatient general psychiatry practice. A non-negotiable prerequisite for this role is proven, specialized expertise in interventional psychiatry billing—specifically Spravato (esketamine) and Transcranial Magnetic Stimulation (TMS).

Key Requirements

• Proven Interventional Psychiatry Expertise: Extensive experience with Spravato/esketamine administration and observation coding, buy-and-bill/specialty pharmacy workflows, and TMS treatment mapping. (Note: Ketamine-only experience does not qualify).

• Prior Authorization & Pre-Check: Strong track record securing pre-authorizations, REMS program compliance alignment, and complex appeal resolutions for interventional modalities.

• Proof of Track Record: Must provide verifiable references or documented proof of prior success with Spravato and TMS claim reimbursement.

• Location: Must be fully US-based (offshore or outsourced overseas teams will not be considered).

• Availability: Ready for an immediate or near-immediate onboarding start date.

• General Psychiatry Billing: Full-cycle billing capability for adult general outpatient psychiatric evaluations, medication management, and psychotherapy (CPT codes 90792, 99212–99215, E/M add-ons).

Scope of Work

1. End-to-End Revenue Cycle Management: Full-cycle claims submission, posting, denial management, and patient collection workflows.

1. Interventional Pre-Authorization & Verification: Benefit verification, obtaining prior authorizations for Spravato and TMS, and navigating commercial/Medicare payer rules.

1. Specialty Coding Precision: Deep familiarity with relevant HCPCS, CPT, and ICD-10 coding combinations specific to interventional procedures and office visit add-ons.

1. Denial & Appeal Operations: Rapid identification and resolution of claims denials unique to specialty interventional treatments.

How to Apply
If your team meets all prerequisites and can start immediately, please submit your response with the following:

1. Overview of Team Capabilities: Summary of your current team structure and capacity.

1. Proof of Experience: Specific overview of your experience billing for Spravato (esketamine) and TMS (including software/EHR platforms utilized).

1. References: Minimum of two verifiable professional references from practices where you currently handle or previously handled interventional billing.

1. Contact Information: Direct line and email for quick onboarding discussion.

Submissions are being reviewed on a rolling, urgent basis. Qualified teams will be contacted immediately for an initial interview.

This is a remote position.