Our client is looking for a RCM - Psychiatric Billing Specialist to manage their end-to-end billing operations. Operating within the behavioral healthcare sector, they have built a strong reputation in recent years by expanding access to advanced psychiatric treatments and telepsychiatry services across multiple clinics. In this vital position, the specialist will oversee both patient-facing and insurance-facing revenue cycle processes, ensuring accurate claim handling, clear communication of financial responsibilities, and proactive resolution of denials within a fast-paced clinical environment.
Responsibilities
- Manage full-cycle Revenue Cycle Management (RCM) across both patient and insurance workflows, with a strong emphasis on front-end operations.
- Conduct thorough insurance eligibility and benefits verifications, clearly communicating financial responsibilities such as deductibles, HSA, and FSA details to patients.
- Handle direct patient interactions and outbound calls to insurance carriers with professionalism and clarity.
- Oversee denials management and actively work claims well ahead of timely filing limits, proactively proposing solutions and options rather than waiting for direction.
- Review claims, verify account balances, and generate accurate patient statements within the eClinicalWorks (eCW) EMR system.
- Build and maintain financial and billing reports using Microsoft Excel or Google Sheets.
- Participate in weekly operational and reporting meetings with the practice leadership to review billing performance and account statuses.
Requirements
Requirements
- At least 2 to 3 years of recent, proven work experience in psychiatric or mental health billing across full-cycle RCM.
- Hands-on proficiency with the eClinicalWorks (eCW) EMR platform.
- Active HIPAA certification alongside comprehensive knowledge of HIPAA regulations, ICD-10, and CPT coding.
- Strong proficiency in Microsoft Excel and Google Sheets for building and tracking reports.
- Exceptional spoken and written English communication skills with professional phone etiquette for patient and insurance interactions.
- Dedicated, full-time availability with no outside work commitments and a reliable remote technical setup.
Qualifications
- Proven background or familiarity with Medicare billing processes and guidelines.
- Familiarity with healthcare communication and telehealth tools such as BTexting, Doxy, Lyra, and ComPsych.
- Proactive, self-starting mindset with the ability to take initiative and lead conversations regarding claim resolution options.
- Fast learner who retains complex billing information effectively and remains composed under pressure in a fast-paced environment.
- 100% remote work setup.
- Consistent daytime working schedule (9:00 AM to 5:00 PM CST).
- Opportunity to collaborate directly with clinic leadership and make a meaningful operational impact within an established mental health practice.