Mental Health Billing Specialist: Denials & Credentialing

Evolve Managed Care Solutions; Augusta (GA); On-site; USD 40,000 - 55,000; Full time

Job summary

Evolve Managed Care Solutions in Augusta, GA is seeking an experienced Mental Health Billing Specialist. The role focuses on managing claim denials, appeals, and insurance credentialing to ensure the financial success of our practice while maintaining patient care accessibility.

Candidates should possess at least 2-3 years of medical billing experience in behavioral health and a strong familiarity with HCA Clinical Works. Strong problem-solving and organizational skills are essential for success in this role.

Qualifications

• Minimum 2-3 years of experience in medical billing, especially in behavioral health.
• Strong understanding of insurance credentialing and provider enrollment.
• Proficient in analyzing denial trends and implementing solutions.

Responsibilities

• Manage claim denials, appeals, and the insurance credentialing process.
• Track and resolve denied claims, ensuring compliance with payer guidelines.
• Verify insurance for new and existing patients, confirming coverage details.

Skills

Denials management

Insurance credentialing

Problem-solving skills

Communication skills

Organizational skills

Knowledge of CPT codes

Knowledge of ICD-10 coding

Education

2-3 years of experience in medical billing

Certification in Medical Billing & Coding (CPC, CPB)

Tools

HCA Clinical Works

Job description

Evolve Managed Care Solutions in Augusta, GA is seeking an experienced Mental Health Billing Specialist. The role focuses on managing claim denials, appeals, and insurance credentialing to ensure the financial success of our practice while maintaining patient care accessibility.

Candidates should possess at least 2-3 years of medical billing experience in behavioral health and a strong familiarity with HCA Clinical Works. Strong problem-solving and organizational skills are essential for success in this role.