Billing Associate - Mental Health Services

Saafe Behavioral Svcs.•Deland, FL

17h•Onsite

About The Position

The Billing Associate/Specialist is responsible for the accurate and timely posting of payments, adjustments, and denials for mental health services billed to Medicaid, Medicare, and commercial insurance plans. This role requires advanced knowledge of payer reimbursement methodologies, contractual allowances, and behavioral health billing requirements. The position plays a key role in maintaining financial accuracy, overall workflow of billing, supporting follow-up activities, and optimizing revenue for services provided by psychiatrists and mental health counselors.

Requirements

High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration, accounting, or related field preferred
3–5+ years of experience in medical billing or payment posting, with significant experience handling Medicaid, Medicare, and commercial plans
Strong experience in behavioral health or mental health billing preferred
Advanced knowledge of EOBs, ERAs, payer payment methodologies, and contractual adjustments
Working knowledge of CPT, ICD-10, and common mental health billing codes and modifiers
Experience with EHR and practice management/billing systems
Excellent attention to detail and high level of accuracy
Strong analytical and problem-solving skills
Ability to manage complex, high-volume workloads with minimal supervision
Strong written and verbal communication skills

Nice To Haves

Experience with secondary billing and coordination of benefits
Familiarity with telehealth reimbursement rules and modifiers across payers
Knowledge of state-specific Medicaid behavioral health billing requirements
Certification such as CPC, CBCS, CPB, or similar preferred
Proficiency in Microsoft Excel, including basic reporting and reconciliation functions

Responsibilities

Accurately post insurance payments, patient payments, contractual adjustments, and refunds for Medicaid, Medicare, and commercial payers
Review and interpret EOBs and ERAs, including complex payment scenarios such as multiple payers, secondary claims, and coordination of benefits
Apply payer-specific reimbursement rules, fee schedules, and contractual adjustments
Identify underpayments, overpayments, denials, and posting discrepancies and route accounts for appropriate follow-up or appeal
Reconcile payments to daily deposits, lockbox reports, and remittance files to ensure financial accuracy
Research and resolve complex payment variances and posting issues independently
Maintain accurate patient account balances to support accounts receivable follow-up and financial reporting
Collaborate closely with charge entry, coding, and follow-up teams to resolve billing and reimbursement issues
Support month-end close, audits, and payer reconciliations
Ensure compliance with payer contracts, CMS guidelines, Medicaid regulations, and internal policies
Maintain strict confidentiality and compliance with HIPAA and mental health privacy requirements
Complete insurance verification as needed
Serve as a resource and mentor other billing staff as needed