Billing Specialist

New York, New York
Office Managment – Billing Specialist /
W2 /
Remote
About Thriving Center of Psychology: At the Thriving Center of Psychology, we are committed to providing exceptional mental health services tailored to the unique needs of our clients. Our practice is known for its innovative approach to mental health care, integrating the latest research with compassionate, personalized therapy. We are looking to expand our team with passionate individuals who are dedicated to making a positive impact in the lives of those seeking psychological support.

Position Overview:
We are seeking an efficient Billing Specialist with a strong focus on Accounts Receivable (A/R) to join our dynamic team. The ideal candidate will have extensive experience working with various payers (especially BCBS), including submitting and correcting claims, handling denials, posting payments, and following up on outstanding A/R.
This is a key role within our billing team, requiring meticulous attention to detail, a deep understanding of the insurance billing process, and a proactive approach to problem-solving and claim resolution.

Must reside in one of the following states: AZ, CT, FL, IL, IN, NJ, NY, NC, OH, OR, PA, TN, TX, or WA.

Key Responsibilities:

    • Submit, resubmit, and correct insurance claims (primary focus on BCBS and other major commercial payers)
    • Follow up on unpaid or denied claims, analyze denial reasons, and take corrective actions
    • Post insurance payments and patient payments, reconcile accounts, and allocate credits appropriately
    • Collaborate with clinicians to ensure accurate documentation and verify medical necessity or authorization when required
    • Review and verify insurance benefits; communicate client coverage limits and out-of-pocket responsibilities clearly and empathetically
    • Assist clients with billing questions, superbills, refunds, and updating payment methods
    • Maintain accurate and detailed records of all billing activity, adjustments, and correspondence
    • Assist with process improvements and policy implementation in collaboration with the Billing Department
    • Ensure compliance with HIPAA and confidentiality standards at all times

Qualifications:

    • Associates Degree
    • 2+ years of medical billing and A/R experience required, preferably in a mental health or behavioral health setting
    • Proficiency with insurance claims handling, including corrected claims and denial management
    • Strong knowledge of CPT, ICD-10 codes, and insurance billing guidelines
    • Excellent time management, organizational, and follow-up skills
    • Strong communication skills (verbal and written) and a high level of professionalism
    • Customer service-oriented, with the ability to interact with empathy and clarity with clients
    • Ability to work independently, prioritize tasks, and thrive in a fast-paced remote environment
    • Prior experience with EMR/EHR systems

Benefits:

    • 401k Safe Harbor plan
    • Dental Insurance
    • Health Insurance
    • Unlimited vacation policy
    • Work-from-home
    • Yearly employee engagement trips to NYC
$50,000 - $60,000 a year