Job Description
About the Practice Our client is an outpatient mental health facility providing medication management services for patients experiencing depression, anxiety, and other psychiatric conditions. We are seeking a highly competent Medical Billing & Revenue Cycle Specialist to take ownership of claims management, denial follow-ups, invoicing, reconciliation, and reduction of Accounts Receivable (A/R). This role is essential to maintaining financial health and operational efficiency.
This is not an entry-level billing role. We are looking for someone proactive, analytical and driven, someone who completes tasks before being asked.
The primary focus of this role is: ● Medical billing ● Claims submission & denial management ● A/R reduction ● Patient billing support ● Revenue cycle optimization
There will be occasional crossover with administrative support when needed (prior authorizations, call handling). The ideal candidate is: ● Detail-driven ● Highly accountable ● Direct and solution-oriented ● Comfortable speaking up ● Not sales-focused, but results-focused Core Responsibilities
Medical Billing & Claims Management ● Submit insurance claims accurately and timely ● Follow up on claim denials and rejections ● Resolve billing discrepancies ● Track and reduce A/R balances ● Reconcile payments and patient invoices ● Monitor billing trends and identify patterns
Revenue Cycle & Data Analysis ● Analyze billing data to identify inefficiencies ● Review claims performance metrics ● Suggest process improvements● Maintain accurate billing reports ● Ensure compliance with payer requirements
Patient Billing Support ● Handle patient calls regarding eligibility and billing questions ● Follow up on delayed or outstanding invoices ● Communicate clearly and confidently with patients ● Address billing concerns professionally ● Escalate complex issues when necessary
Administrative Crossover Support ● Assist with prior authorizations ● Support inbound call handling if admin staff are unavailable ● Transfer calls appropriately ● Maintain organized documentation Systems Used ● Healthy (EHR) ● ClaimMD (Clearinghouse) Experience with similar EHR and clearinghouse systems is acceptable. The candidate must be quick to learn new systems (cross-training provided).
Required Qualifications ● 1–2+ years medical billing experience (healthcare required) ● Strong understanding of claims, coding basics and modifiers ● Experience submitting claims and handling denials ● Healthcare background required (mental health experience a plus) ● HIPAA compliance knowledge ● Strong data analysis and reporting skills ● Excellent English communication (minimal accent preferred) ● Confident phone presence ● Highly proactive and self-directed
Preferred Qualifications ● Mental health billing experience ● Spanish-speaking ability (bonus, not required) ● Experience reducing A/R significantly ● Experience working in smaller clinics or growing practices● Male candidate preferred (to support balance in patient interactions), but strong female candidates will be considered Why Join Assist World?
100% REMOTE$50 birthday bonus$200 testimonial bonus$500 entry monthly raffleNO TRACKER. NO PROBLEM
