Medical Biller - Outpatient Behavioral Health

About Monarch Behavioral Health
We are a San Antonio-based group of clinicians who provide a wide range of services including therapy & counseling, psychological assessments and testing. We serve children, teens, and adults who are struggling with personal or family concerns.

Our Mission
To cultivate growth and reduce suffering by creating safe spaces for connection and understanding while providing therapeutic support to members of our community and making accessible mental healthcare services to our community.

Monarch Behavioral Health is currently searching for an Insurance Billing Specialist, preferably with experience in the mental health field. This is a new position with the practice, and the incumbent will have the opportunity to set up new processes and procedures to ensure efficient and timely accounts receivable.

General Responsibilities:

• Conduct accurate insurance verifications and pre-authorizations online and via phone.
• Ensure accurate payment posting for patient and insurance payments through our electronic medical record system.
• Communicate directly with patients about any questions related to insurance coverage.
• Maintain claim status in the Electronic Medical Record System (EMR).
• Update patient accounts as needed and prepare accounts for collections when necessary.
• Track and monitor claim rejections, denials, under and overpayment, and any additional issues.
• Research and follow up with respective insurance payors regarding claim and payment issues.
• File completed claims correctly and timely.
• Resolve the aging account reports with insurance companies and clients.
• Develop balance reports to submit to the Practice Manager for billing at the end of the month.
• Ensure that all billing policies and procedures are followed.
• Support the client care team with backup for phone coverage.
• Maintain confidentiality of all pertinent client information.
• Attend required training and meetings.
• Perform other related duties as assigned.

Required Skills/Abilities:

• Deep knowledge of health insurance policies and local coverage determinations, how in and out-of-network benefits work, and how customary rates work.
• Professional and Interpersonal Communication.
• Customer Service.
• Excellent organizational skills.
• Communication skills: verbal and written skills.
• Client service-focused attitude; business etiquette.
• Active listening.
• Organization and time management skills.
• Ability to prioritize tasks.
• Flexibility, adaptability, and resilience.
• High attention to detail.
• Technology Skills: Proficient in Microsoft Word, Excel, Google Suite, Electronic Medical Records (EMR), Office Ally, and/or a similar claims processing program.

Required Education and Experience:

• High school graduate/GED.
• Medical Billing certification.
• A minimum of 2 years of experience performing high volume medical coding and billing of commercial insurance.
• A minimum of 2 years of experience performing direct-facing customer service.
• Experience in psychology/psychiatry billing preferred.

Schedule Work Hour Requirements:

• Full-time, 40 hours per week
• Monday – Friday, 8:00 am - 5 pm
• Work Location Hybrid position (75% in office, 25% remote)
• Compensation
• $20 - $24 per hour

Our Values

• Professionalism
• Abundance Minded
• Eager-to-Learn
• Humbly Confident
• Relationship-Oriented

Our Benefits Offerings Include:
Health insurance coverage including medical, dental, and vision
Paid Time Off, Holiday Pay
CEU stipend and company provided CEUs