More jobs:
Billing Specialist
Job in
Clovis, Fresno County, California, 93613, USA
Listed on 2026-03-01
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
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.
EssentialFunctions
- 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.
- 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.
- 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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