Back to search
This is a remote position.
Job Summary
RCM Staff BPO is hiring a part-time Medical Billing Specialist to support a mental health practice based in Connecticut.
The specialist will handle day-to-day billing for a multi-provider outpatient practice, from claim submission through payment and denial follow-up. This role requires strong attention to detail, consistent follow-up, and experience working with U.S. health insurance plans.
Key Responsibilities
- Review encounters and charges for accuracy before claim submission
- Submit clean claims through the practice management system and clearinghouse
- Work clearinghouse and payer rejections and resubmit corrected claims
- Follow up on unpaid and underpaid claims through payer portals and phone calls
- Research denials, correct and resubmit claims, and prepare appeals when needed
- Post insurance payments and adjustments from ERAs and EOBs
- Verify CPT, HCPCS, and ICD-10-CM codes against documentation and payer rules
- Work aging A/R reports and prioritize accounts by age and dollar value
- Document all account activity clearly in the billing system
- Protect patient information and follow HIPAA requirements
Qualifications
- At least 2 years of experience with U.S. healthcare insurance
- Hands-on experience with claim submission, denial management, and A/R follow-up
- Working knowledge of CPT, HCPCS, and ICD-10-CM coding
- Familiarity with commercial insurance and government health plans
- Experience using payer portals and insurance websites
- Strong written and spoken English
- Excellent attention to detail and follow-up skills
- Ability to work independently and manage multiple patient accounts
- Reliable internet connection and a suitable remote workspace
Preferred Qualifications
- AAPC CPC or CPB certification
- Experience billing for psychiatry, behavioral health, or mental health practices
- Experience using glaceEMR (Glenwood Systems)
- Familiarity with Connecticut insurance plans, such as HUSKY Health (Connecticut Medicaid)
- Experience with psychiatric evaluation, medication management, and psychotherapy add-on codes
Schedule
- Part-time position, approximately 20 hours per week
- Must be available during Eastern Time business hours
- Final schedule will be determined based on practice needs
Work Arrangement
- Remote
- Philippines-based applicants preferred
Learn more about this Employer on their Career Site
