Mental Health Medical Biller

TLC; Matthews (NC); On-site; USD 42,000 - 48,000; Full time

Benefits offered by this job

Health, Dental, Vision Insurance

PTO and some Holidays

Retirement Plan (401k/IRA)

Professional development support

Job summary

Transcend is seeking an experienced Mental Health Medical Biller to oversee behavioral health billing operations. You will manage claims submission, verification, authorizations, and denials, while delivering compassionate communication with patients.

The role emphasizes HIPAA compliance, accurate financial reporting, and strong knowledge of CPT/ICD-10/DSM-5 coding. Proficiency with EHRs and billing software is essential.

Qualifications

• Minimum of 5 years medical billing experience.
• Specialty in mental/behavioral health billing is required.
• Proficiency with EHR and billing software.
• Strong knowledge of CPT, ICD-10, DSM-5, and payer pre-authorizations.
• Excellent organizational skills and compassionate patient communication.

Responsibilities

• Prepare, verify, and submit primary and secondary mental health claims.
• Verify patient insurance eligibility and obtain authorizations.
• Investigate, appeal, and resolve denied claims promptly.
• Post payments and manage patient statements; arrange payment plans.
• Ensure HIPAA compliance and billing standards.
• Maintain records, perform audits, and reconcile accounts.

Skills

Mental health billing

EHR proficiency

Billing software

Organizational skills

Compassionate communication

Tools

EHR systems

Billing software

Job description

Transcend is seeking an experienced and detail-oriented Mental Health Medical Biller to manage and oversee our behavioral health billing operations. The ideal candidate will have extensive hands-on experience navigating the complexities of mental health insurance billing, claims processing, and reimbursement management.

In this role, you will play a key part in maintaining the financial health of our practice by ensuring timely, accurate claims submission, resolving billing issues, and delivering compassionate communication when addressing patient inquiries.

Key Responsibilities

• Claims Processing & Submission: Prepare, verify, and submit primary and secondary insurance claims for mental health services (e.g., individual/group therapy, psychiatric evaluations, medication management) using standard CPT, ICD-10, and DSM-5 coding.
• Insurance Verification & Authorizations: Verify patient insurance eligibility, benefits, co-pays, deductibles, and secure required prior authorizations from third-party payers.
• Denials & Appeals Management: Investigate, appeal, and resolve unpaid, delayed, or denied claims in a timely manner.
• Patient Accounts & Collections: Generate monthly patient statements, post insurance and patient payments, set up payment plans, and respond professionally to patient billing inquiries.
• Compliance & Auditing: Ensure strict adherence to HIPAA regulations, payer guidelines, and billing compliance standards.
• Financial Reporting: Maintain accurate records and perform routine billing audits and account reconciliations.

Qualifications & Requirements

• Experience: Minimum of 5 years of medical billing experience (Required).
• Specialty Expertise: Proven, hands-on experience specifically in mental/behavioral health billing (Required).
• Technical Skills: Strong proficiency with Electronic Health Records (EHR) and billing software.
• Knowledge: Expert understanding of mental health CPT codes, ICD-10 coding, modifier usage, and payer pre-authorization requirements.
• Soft Skills: Excellent organizational abilities, high attention to detail, and compassionate patient communication skills.

Salary

$20.00 – $23.00+ / hour ($42,000 – $48,000 annually), commensurate with experience

Benefits

• Health, Dental, and Vision Insurance
• Paid Time Off (PTO) and some Holidays
• Retirement Plan (401k / IRA) options
• Professional development support