Manages authorizations, monitors approvals, follows up on unpaid claims, and resolves denials for a behavioral health teletherapy provider's revenue cycle. Ideal candidate has experience with U.S. healthcare insurance, prior authorizations, and medical AR within a behavioral health setting.
Key responsibilities:
- Verifies insurance eligibility, benefits, and authorization requirements
- Submits, monitors, renews, and tracks prior authorization requests
- Follows up on unpaid, denied, rejected, or partially paid claims
- Submits corrected claims, appeals, and reconsiderations as needed
- Monitors AR aging reports to reduce outstanding balances
- Maintains documentation across EHR, billing systems, and payer portals
- Collaborates with providers, scheduling, billing, and credentialing teams
Requirements:
- 2+ years in medical billing or behavioral health billing
- Experience with PAR (prior authorization) and AR processes
- Experience with EHR systems and payer portals
- Knowledge of U.S. healthcare insurance and reimbursement processes
- Claims appeals/denials experience
- Behavioral health experience preferred
Benefits: remote work, paid PTO, paid U.S. holidays, birthday leave, health stipend, parental leave.