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Medical Biller (Mental Health)

Jewish Family Services of Metrowest New Jersey
Florham Park, NJ Full Time
POSTED ON 1/14/2025
AVAILABLE BEFORE 4/11/2025

Job Summary :

The Mental Health Medical Biller is responsible for managing the billing process for all agency services, ensuring accurate and timely claim submission to insurance companies, and handling patient billing inquiries. This role requires strong attention to detail, a thorough understanding of medical billing processes and codes (especially related to mental health services), and excellent communication skills.

Duties and Responsibilities :

Billing and Claims Management :

  • Prepare and submit insurance claims for mental health services using appropriate coding systems (CPT, ICD-10, HCPCS).
  • Verify accuracy and completeness of claims to minimize rejections or delays.
  • Follow up on unpaid claims and resolve denied or rejected claims promptly.

Patient Accounts Management :

  • Post payments from insurance companies and patients to patient accounts.
  • Send statements to patients for outstanding balances and assist with payment plans as needed.
  • Address patient inquiries about billing statements and insurance coverage.
  • Insurance Verification and Pre-Authorization :

  • Verify patients' mental health benefits and eligibility before services are provided.
  • Obtain necessary pre-authorizations and ensure compliance with insurance requirements.
  • Compliance and Documentation :

  • Ensure billing practices comply with federal, state, and payer-specific regulations, including HIPAA.
  • Maintain accurate patient billing records and documentation.
  • Reporting and Communication :

  • Generate and analyze billing reports to identify trends and areas for improvement.
  • Collaborate with clinicians and administrative staff to resolve discrepancies or provide clarification on billing-related matters.
  • Collaborate with Business Office staff to ensure communication of revenue and outstanding balances.
  • Requirements

    Qualifications :

    Education and Experience :

  • High school diploma or equivalent; Associate's degree preferred.
  • Certification in Medical Billing or Coding (e.g., CPC, CCS, or equivalent) is a plus.
  • Minimum of 1-2 years of experience in medical billing, preferably in mental health or behavioral health settings.
  • Skills and Competencies :

  • Proficiency in medical billing software and electronic health records (EHR) systems, preferably InSync.
  • Knowledge of mental health CPT codes, ICD-10 codes, and payer-specific billing requirements.
  • Strong attention to detail and organizational skills.
  • Excellent verbal and written communication skills.
  • Ability to handle sensitive and confidential information with discretion.
  • Physical Requirements (if any) :

    The physical demands outlined here are representative of those that must be met by an employee to successfully perform the key duties and responsibilities of this role. Reasonable accommodations may be provided to enable individuals with disabilities to fulfill these essential functions. In this role, the employee will typically engage in activities such as sitting, walking, standing, driving, listening, speaking, typing, reading, and writing. Additionally, the employee may be required to lift or carry items weighing up to 20 pounds.

    Salary Description

    53,000-$55,000

    Salary : $53,000 - $55,000

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