Medical Billing & Revenue Cycle Specialist (Mental Health Clinic)

About the Practice Our client is an outpatient mental health facility providing medication management services for patients experiencing depression, anxiety, and other psychiatric conditions. We are seeking a highly competent Medical Billing & Revenue Cycle Specialist to take ownership of claims management, denial follow-ups, invoicing, reconciliation, and reduction of Accounts Receivable (A/R). This role is essential to maintaining financial health and operational efficiency.

This is not an entry-level billing role. We are looking for someone proactive, analytical and driven, someone who completes tasks before being asked.

Role Overview The primary focus of this role is:
● Medical billing
● Claims submission & denial management
● A/R reduction
● Patient billing support
● Revenue cycle optimization

There will be occasional crossover with administrative support when needed (prior authorizations, call handling).
The ideal candidate is:
● Detail-driven
● Highly accountable
● Direct and solution-oriented
● Comfortable speaking up
● Not sales-focused, but results-focused Core Responsibilities

Medical Billing & Claims Management
● Submit insurance claims accurately and timely
● Follow up on claim denials and rejections
● Resolve billing discrepancies
● Track and reduce A/R balances
● Reconcile payments and patient invoices
● Monitor billing trends and identify patterns

Revenue Cycle & Data Analysis
● Analyze billing data to identify inefficiencies
● Review claims performance metrics
● Suggest process improvements
● Maintain accurate billing reports
● Ensure compliance with payer requirements

Patient Billing Support
● Handle patient calls regarding eligibility and billing questions
● Follow up on delayed or outstanding invoices
● Communicate clearly and confidently with patients
● Address billing concerns professionally
● Escalate complex issues when necessary

Administrative Crossover Support
● Assist with prior authorizations
● Support inbound call handling if admin staff are unavailable
● Transfer calls appropriately
● Maintain organized documentation Systems Used
● Healthy (EHR)
● ClaimMD (Clearinghouse) Experience with similar EHR and clearinghouse systems is acceptable.
The candidate must be quick to learn new systems (cross-training provided).

Required Qualifications
● 1–2+ years medical billing experience (healthcare required)
● Strong understanding of claims, coding basics and modifiers
● Experience submitting claims and handling denials
● Healthcare background required (mental health experience a plus)
● HIPAA compliance knowledge
● Strong data analysis and reporting skills
● Excellent English communication (minimal accent preferred)
● Confident phone presence
● Highly proactive and self-directed

Preferred Qualifications
● Mental health billing experience
● Spanish-speaking ability (bonus, not required)
● Experience reducing A/R significantly
● Experience working in smaller clinics or growing practices
● Male candidate preferred (to support balance in patient interactions), but strong female candidates will be considered

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