Billing Administrator - Mental Health Practice

Capitol Hill Consortium for Counseling & Consultation; Washington (District of Columbia); On-site; USD 45,000 - 65,000; Full time

Job summary

CCCC LLC, a growing mental healthcare practice in Washington, DC, is seeking a Billing Specialist to join our Billing Team. This role focuses on client communication, insurance claim processing, and accurate, timely billing operations at our Washington, DC location.

You will manage denial appeals, AR aging, payer relations, and eligibility checks to maintain clean ledgers and claim timeliness. Monday–Friday 8:30am–5:00pm; on-site position.

Qualifications

• Experience in medical billing and coding.
• Proficient with insurance verifications and authorizations.
• Strong attention to detail and accuracy in postings.

Responsibilities

• Client communication: options, clinician details, services, and insurance queries.
• Respond to emails, voicemails, and faxes within 24 hours.
• Denial management: review ERAs/EOBs for commercial and Medicare/Medicaid.
• Draft and submit appeals for medical necessity or level of care denials.
• A/R aging: work 30/60/90+ day aging to reduce past-due balances.
• Payer relations: contact insurers to resolve stuck claims and COB issues.

Skills

Medical billing

Insurance claims

Communication

Attention to detail

Education

Medical billing certification

Tools

Billing software

EHR systems

Job description

Welcome to CCCC LLC, a flourishing Multi-Specialty Mental Healthcare Practice. For decades, we've been serving the communities of DC, MD, and VA with accessible and insurance-accepted behavioral healthcare solutions. Now, we're thrilled to offer you the chance to be a part of our growing success story.

Position Overview: Billing Specialist

We're excited to extend an invitation to talented individuals like you to join our skilled, hard-working, and goal-oriented Billing Team. This is a unique opportunity to make an impact as a key contributor at our Washington, DC. location. Embrace a fulfilling Monday-Friday schedule, 8:30am-5:00pm

What Sets Us Apart: Our Mission

At CCCC LLC, our mission is a driving force that unites us as a team. Together, we're committed to delivering high-quality, accessible, and culturally-sensitive mental health services, training, and consultation to those in need.

Your Responsibilities and Duties:

Client Communication

• Ensure seamless communication with clients regarding scheduling options, clinician details, services, and insurance-related queries.
• Uphold our commitment to timely communication by addressing emails, voicemails, and faxes within 24 hours.

Client Billing

• Denial Management: Perform daily reviews of ERAs and EOBs for commercial and Medicare/Medicaid plans to identify, categorize, and prioritize rejected and/or denied claims.
• Forensic Appeals: Draft and submit formal appeals for "medical necessity" or "level of care" denials, coordinating with clinicians for supporting documentation.
• A/R Aging Management: Systematically work 30, 60, and 90+ day aging reports to resolve outstanding balances and reduce "days in AR."
• Payer Relations: Contact insurance representatives directly to troubleshoot stuck claims and navigate complex "coordination of benefits" (COB) issues.
• Claim Submission: Submits claims for all payers electronic and paper.
• Authorization Recovery: Secure new and retroactive authorizations for services rendered and monitor current "units used" to prevent future gaps in coverage for Medicaid payers. Familiarized with insurance websites and authorization forms and faxes.
• Eligibility Verification: Conduct regular audits of patient insurance status to catch lapsed coverage before sessions occur.
• Payment Reconciliation: Ensure all insurance payments are accurately posted to maintain a "clean" and accurate ledger.
• Client Payments: Responsible for collecting client co-payments, deductibles, etc.
• Reporting: Daily reporting for scheduling and online client payments