Biller & Coder- Mental Health

Clarkston Medical Group
Clarkston, MI
The Mental Health Practice Biller is responsible for ensuring accurate and timely billing of patient services, insurance claims, and patient account management for a mental health practice. This role requires strong attention to detail, knowledge of mental health billing and insurance guidelines, and excellent communication skills to work with patients, providers, and payers.

Duties/Responsibilities
  • Prepare, review, and submit insurance claims (electronic and paper) for mental health services.
  • Verify insurance eligibility, benefits, and coverage for mental health and behavioral health services.
  • Ensure accurate coding of procedures, diagnoses, and modifiers (knowledge of CPT and ICD-10 codes specific to mental health required).
  • Review clinical documentation to confirm compliance with payer requirements.
  • Follow up on unpaid or denied claims, appealing as necessary.
  • Post payments from insurance companies and patients to accounts.
  • Reconcile patient accounts and manage balances, sending patient statements as needed.
  • Communicate with patients regarding account balances, insurance coverage, and payment options.
  • Maintain knowledge of current payer requirements, behavioral health billing regulations, and compliance standards.
  • Provide reporting to management on billing, collections, and aging accounts.
  • Support front desk staff and clinicians with billing-related questions.
Qualifications/Experience
  • High school diploma or equivalent required; associate degree in healthcare administration, medical billing/coding, or related field preferred.
  • Minimum 2 years of medical billing experience, with preference for behavioral/mental health billing.
  • Knowledge of CPT, ICD-10, and HCPCS codes used in behavioral health.
  • Familiarity with insurance portals, clearinghouses, and EHR systems.
  • Strong communication skills, with the ability to work professionally with patients, staff, and insurance representatives.
  • Detail-oriented with problem-solving ability for claim denials and account reconciliation.
  • Strong organizational skills and attention to detail.
  • Proficient in Microsoft Office and comfortable using electronic health records (EHR).
  • Ability to handle confidential information in compliance with HIPAA.
  • Dependable, flexible, and able to multitask in a fast-paced environment.
Physical Requirements
  • Prolonged periods of sitting at a desk and working on a computer.
  • Occasional lifting of up to 20 lbs. (files, supplies).
  • Ability to remain composed in sensitive or emotionally charged situations.
  • Use of personal protective equipment (PPE) as required.
Equal Employment Opportunity Statement: Oakland Behavioral Center is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, or any other characteristic protected by law.

Posted 2025-10-06

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