Administrative Assistant - Behavioral Health Billing & Claim Denials Integrative Behavioral Health, LLC Towson, MD Job Details Part-time | Full-time | Contract $22 - $25 an hour 11 hours ago Benefits Flexible schedule Qualifications Health insurance authorizations Medical claims processing Medicare Medicaid billing Achieving HIPAA compliance Overseeing healthcare denial management HIPAA Medical administrative support ICD-10 Billing follow-up on outstanding patient balances Healthcare privacy protection Medical billing and coding communication with insurance companies Medical denial root cause analysis (RCA) Medical credentialing Medical insurance appeals management Document review Front desk Medical explanation of benefits reviews Medical claims submission Commercial claims Medical claim denial management Full Job Description Job Overview Integrative Behavioral Health, LLC (IBH) is seeking an experienced Administrative Assistant with medical/behavioral health insurance billing and claim denial experience to support our growing outpatient behavioral health practice. This position is ideal for someone who understands the insurance revenue cycle and can independently investigate rejected, denied, and unpaid claims and take the appropriate steps to resolve them. Primary Responsibilities Review and work insurance claim denials and rejections Identify the reason claims were denied or rejected and determine corrective action Correct claim errors and submit corrected/replacement claims Review EOBs and Electronic Remittance Advice (ERA) Research unpaid, underpaid, and delayed claims Contact Medicaid, Medicare, CareFirst/BCBS, Cigna/Evernorth, Aetna, UnitedHealthcare, and other insurance carriers regarding claim status Resolve common billing issues involving: Provider NPI Rendering/billing provider errors Provider enrollment/credentialing Prior authorization Eligibility and coverage CPT and diagnosis coding Timely filing Coordination of benefits Duplicate claims Incorrect payer information Medical necessity or documentation requests Submit reconsiderations and appeals when appropriate Track denied claims through resolution and payment Document all payer communications and follow-up activity Assist with accounts receivable (A/R) follow-up and aging reports Verify client insurance eligibility and benefits as needed Assist with general administrative and front-office responsibilities Maintain HIPAA-compliant handling of all client and insurance information

REQUIRED

Qualifications Insurance claim denial/rejection experience is required.

Applicants should have:

Previous experience working medical or behavioral health insurance claims Demonstrated experience resolving denied, rejected, and unpaid claims Ability to read and understand EOBs/ERAs and payer denial information Knowledge of CPT, ICD-10, NPI, authorization, eligibility, and insurance billing terminology Experience communicating directly with insurance companies Strong follow-up and problem-solving skills Excellent attention to detail and documentation skills Ability to work independently and manage multiple outstanding claims Working knowledge of HIPAA and confidentiality requirements Strongly Preferred Behavioral health / mental health billing experience TherapyNotes billing experience Maryland Medicaid behavioral health billing experience Medicare and commercial insurance experience Experience with CareFirst/BCBS, Cigna/Evernorth, Aetna, and UnitedHealthcare Experience submitting corrected claims, reconsiderations, and appeals Experience working A/R aging reports and identifying revenue-cycle trends What We Are Looking For We are specifically looking for someone who can do more than submit claims. The successful candidate should be able to look at a denied or rejected claim, determine why it did not pay, research the problem, correct it, follow up with the payer, and continue tracking the claim until it is resolved. Please do not apply if you do not have hands-on experience working insurance claim denials or rejections. Application Screening Question Describe your experience resolving denied or rejected insurance claims. Please provide an example of a denial you researched, what caused the denial, and the steps you took to correct or appeal the claim.

Pay:

$22.00 - $25.00 per hour Expected hours: 10.0 - 20.0 per week

Benefits:

Flexible schedule

Work Location:

Hybrid remote in Towson, MD 21204