Medical Billing Specialist
1 day ago
This is a full-time position requiring the selected candidate to work night shifts aligned with U.S. Central Time (7 PM – 4 AM PKT). The role involves managing end-to-end billing operations for psychiatry and behavioral health services under the U.S. healthcare system.
You will be responsible for handling the complete revenue cycle – from claim preparation and submission to denial management, AR follow-up, and payment posting. Strong understanding of psychiatric CPT/ICD codes, insurance guidelines, and medical billing software is essential.
Key Responsibilities:
- Prepare, review, and submit accurate claims for psychiatry services (individual therapy, medication management, psychiatric evaluations, etc.).
- Ensure accurate use of CPT, ICD-10, and HCPCS codes, including psychiatry-specific codes such as 90791, 90833, 90834, 90837, 99213, 99214.
- Submit electronic and paper claims to commercial insurance, Medicare, and Medicaid.
- Conduct follow-ups on pending claims and aged AR to secure timely reimbursements.
- Investigate and resolve denials and rejections, identifying root causes and resubmitting corrected claims.
- Post payments (ERA/EOB), reconcile billing records, and apply appropriate adjustments or write-offs.
- Collaborate with internal teams and providers to resolve billing discrepancies and obtain missing documentation.
- Maintain compliance with HIPAA regulations and payer-specific psychiatry billing guidelines.
- Prepare billing status reports and assist the team lead with performance tracking.
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