Mental Health Claims Specialist | Hybrid Role

Beacon Behavioral Partners; Plano (TX); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Hybrid after 90 days

Job summary

Beacon Behavioral Partners in Plano, TX is seeking a Claims Coordinator to review, validate, and correct medical claims before submission to payers. The role focuses on accuracy to minimize rejections and delays, with emphasis on ICD-10, CPT, and HCPCS coding within a mental health setting.

You will collaborate with billing and provider teams, use claim-scrubbing software and EHR systems, and stay updated on payer guidelines and CMS changes.

Qualifications

• High school diploma or equivalent is required.
• 1–2 years of medical billing or claims processing experience.
• Familiarity with ICD-10, CPT, and HCPCS coding systems.
• Strong attention to detail and analytical skills.

Responsibilities

• Review claims for completeness, coding accuracy, and payer-specific compliance prior to submission.
• Identify and correct errors or inconsistencies in claims data, including diagnosis and procedure codes.
• Work closely with coding, billing, and provider teams to resolve discrepancies or missing information.
• Utilize claim-scrubbing software and electronic health record (EHR) systems to process and validate claims.
• Stay current on payer guidelines, CMS updates, and regulatory requirements.
• Monitor and report trends in claim errors or rejections to support quality improvement efforts.
• Assist with claim re-submissions and appeals as needed.
• Review all claim rejections, correct, and resubmit claims.

Skills

Attention to detail

Analytical skills

Communication

Organizational skills

Education

High school diploma or equivalent

Tools

Claim-scrubbing software

EHR systems

Job description

Beacon Behavioral Partners in Plano, TX is seeking a Claims Coordinator to review, validate, and correct medical claims before submission to payers. The role focuses on accuracy to minimize rejections and delays, with emphasis on ICD-10, CPT, and HCPCS coding within a mental health setting.

You will collaborate with billing and provider teams, use claim-scrubbing software and EHR systems, and stay updated on payer guidelines and CMS changes.