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Billing Specialist

Job in Clovis, Fresno County, California, 93613, USA
Listing for: Sacramento Native American Health Center, Inc
Full Time position
Listed on 2026-03-01
Job specializations:
  • Healthcare
    Healthcare Administration, Medical Billing and Coding, Healthcare Compliance, Medical Office
  • Administrative/Clerical
    Healthcare Administration
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below

Billing Specialist (Administrative)

Mind Divers is seeking a Billing Specialist with proven mental health billing experience to support accurate, timely, and compliant billing operations. This role is responsible for end-to-end revenue cycle tasks including charge entry, claim submission, payment posting, denials management, and patient billing support. You'll play a key role in protecting cash flow, reducing aged A/R, and ensuring a high-quality experience for both clients and clinical teams.

Essential

Functions
  • Submit behavioral health/mental health claims accurately and on time (electronic and manual as needed).
  • Perform charge entry, claim edits, and pre-bill reviews to prevent denials.
  • Post insurance and patient payments, manage adjustments, and reconcile payer remittances (ERAs/EOBs).
  • Work A/R queues: follow up on unpaid/underpaid claims, correct rejections, and resubmit clean claims.
  • Investigate and resolve denials (eligibility, authorization, coding, medical necessity, timely filing, coordination of benefits, etc.).
  • Verify insurance eligibility and benefits; identify authorization requirements and flag gaps.
  • Coordinate with clinical and admin teams to resolve documentation, coding, and billing issues.
  • Maintain accurate payer portals, notes, and billing documentation in the EHR/practice management system.
  • Support patient billing questions with professionalism and discretion, including payment plans when applicable.
  • Track trends, identify root causes, and recommend process improvements to reduce denials and improve turnaround time.
  • Maintain compliance with HIPAA, confidentiality standards, and payer-specific billing requirements.
Required Qualifications (Must-Haves)
  • Mental health billing experience required (behavioral health/therapy/psychiatry billing).
  • 2+ years of medical billing experience (behavioral health counts toward this).
  • Working knowledge of CPT/HCPCS and ICD-10 related to behavioral health services.
  • Experience with claim lifecycle management: submissions, rejections, denials, appeals, and follow-up.
  • Comfort navigating EHR/practice management systems and payer portals.
  • Strong attention to detail, organization, and ability to manage competing deadlines.
  • Ability to handle sensitive client information with discretion and professionalism.
Preferred Qualifications (Nice-to-Haves)
  • Experience billing for therapy and psychiatry, including telehealth.
  • Familiarity with Medi-Cal, commercial plans, and managed care (if applicable).
  • Billing certification (CPB, CPC, or similar).
  • Experience with authorization workflows and coordination of benefits.
  • Strong Excel skills and comfort with reporting (A/R aging, denial trends, productivity metrics).
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