Medical Billing

The Healing Room (THR) is hiring an experienced medical biller! THR is a licensed outpatient treatment center located in State College, Pennsylvania. Our mission is to provide clients with a holistic approach to mental health services, offering exceptional, cutting-edge therapeutic techniques, along with complementary modalities to support deep healing!

Duties and Responsibilities

Billing:

• Verify client coverage and eligibility for therapy services

• Post charges and payments to correct accounts

• Submit claims through through insurance websites

• Communicate with insurance providers, therapists, and clients

• Review patient invoices and correct any missing or inaccurate information

• Use billing software to prepare and transmit claims

• Collect unpaid claims and manage discrepancies via telephone or email communication.

• Use insurance carrier portals to check client eligibility and claims information

• Investigate and appeal claims that were denied

• Complete data entry to update internal billing spreadsheets

Credentialing:

• Review and process therapists initial credentialing information and supporting documentation. Follow up with therapists to ensure all information is obtained and accurate

• Complete and process payer enrollment applications for therapists for Medicare/Medicaid/Commercial Insurances/ or other plans.

• Complete timely follow up on all applications.

• Maintain therapist profiles and NPI’s CAQH and internal spreadsheets

• Ensure that re-credentialing is completed in a timely manner to prevent any lapse in enrollment.

• Monitor and maintain current documents (licenses, malpractice insurance).

• Maintain confidentiality of all therapists information

• Complete re-attestation

Qualifications/Required skills:

• At least 2 years of medical billing experience (Required)

• At least 2 years of credentialing experience (Preferred) 

• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems (Required)

• Competent use of computer systems, software, and EHR’s, specifically TherapyNotes (Required)

• Familiarity with CPT Coding

• Knowledge of Availity, InstaMed, and other insurance driven portals

• Experience with behavioral health billing

• Experience with behavioral health credentialing (Preferred)

• Effective communication skills

• Exceptional customer service skills for interacting with clients regarding insurance claims and payments

• Ability to work independently, as this is a primarily remote position

• Problem-solving skills to research and resolve discrepancies, denials, and appeals

• Maintain patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)

• Ability to multitask

Pay/Job Type/Location:

• Job Type: Independent Contractor, up to 15 hours per week.

• Pay: $20.00 per hour

• Location: Remote in State College, PA