Behavioral Health Biller

Behavioral Health BillerFamily Access Center is hiring a Behavioral Health Biller to join our team, supporting and empowering individuals to overcome life's challenges by providing quality services in our Sioux City office.Key ResponsibilitiesClaim Scrubber & Correction (Primary Focus)Audit & Edit: Review, troubleshoot, and correct rejected, denied, or unpaid insurance claims via the clearinghouse or insurance portals.Appeals Management: Investigate the root causes of claim denials (e.g., prior authorization issues, coordination of benefits, coding errors) and submit formal appeals with necessary medical documentation.Payment Posting & Reconciliation: Accurately post insurance payments (ERAs/EOBs) and patient payments to patient accounts, identifying any underpayments or processing errors.Daily Billing OperationsClaim Submission: Prepare, review, and electronically submit daily clean claims for commercial insurance, Medicaid, Medicare, and managed care organizations (MCOs).Coding Compliance: Verify that clinicians have documented correct ICD-10 diagnostic codes and mental health CPT codes (e.g., 90834, 90837, 90791) along with appropriate modifiers (e.g., 95 for telehealth).Eligibility Verification: Confirm client insurance eligibility, mental health benefits, copays, deductibles, and track required prior authorizations.Account & Client ManagementAccounts Receivable (A/R) Tracking: Monitor the aging A/R report to actively follow up on outstanding claims over 30, 60, and 90 days old.Patient Billing Support: Answer client inquiries regarding statements, deductibles, coverage discrepancies, and coordinate payment plans.Provider Feedback: Communicate regularly with clinical staff to resolve missing documentation, signature requirements, or recurring coding errors.Required Qualifications & SkillsExperience: 2+ years of dedicated medical billing experience, with a strict preference for mental/behavioral health billing.Technical Savvy: Proficiency utilizing Electronic Health Record (EHR) systems and billing clearinghouses (e.g., SimplePractice, TherapyNotes, Kareo, Waystar, Availity).Industry Knowledge: Strong familiarity with mental health CPT billing codes, modifiers, DSM-5/ICD-10 crosswalks, and timely filing limits.Analytical Skills: High proficiency in reading and interpreting complex Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs).Communication: Strong verbal and written communication skills for negotiating with insurance representatives and speaking empathetically with patients.Certification (Preferred): Certified Medical Coder (CMC) or Certified Professional Biller (CPB) designation is a plus.BenefitsTuition AssistancePaid Time OffHoliday PayHealth InsuranceLife Insurance401(k) plan401(k) matchingReferral BonusJob Types: Full-timeSalary: $22–28 per hourWork Location: 1221 Pierce St., Sioux City, IA, 51105