Accounts Receivable Analyst/Senior Analyst

Summary

Join BETSOL, a leading digital transformation company, as an experienced AR Analyst/Senior Analyst specializing in Revenue Cycle Management (RCM) for mental health billing. This fully remote position offers a crucial role in optimizing revenue cycle processes, focusing on denial management, eligibility verification, and credentialing for mental health services. You will analyze and resolve claim denials, perform eligibility verifications, manage provider credentialing, handle billing for various mental health services, and monitor denial trends. The position requires strong analytical and problem-solving skills, excellent communication, and proficiency in healthcare billing software. BETSOL offers comprehensive health insurance, competitive salaries, 401K, volunteer programs, and scholarship opportunities.

Requirements

• 2-5 years of experience in Healthcare Revenue Cycle Management, preferably in mental/behavioral health
• Strong expertise in denial management, eligibility & benefits verification, and credentialing
• Knowledge of mental health billing requirements and regulations
• Experience with behavioral health CPT codes and billing modifiers
• Familiarity with mental health insurance coverage and authorizations
• Proficiency in healthcare billing software and MS Office applications
• Strong analytical and problem-solving skills
• Excellent communication and documentation abilities
• Strong attention to detail and accuracy
• Experience with mental health EHR systems
• Knowledge of behavioral health billing guidelines
• Ability to work independently in a remote environment
• Excellent time management and organizational skills
• Strong problem-solving and analytical capabilities
• Proficiency in virtual collaboration tools
• Ability to maintain productivity during night shift hours

Responsibilities

• Analyze and resolve claim denials specific to mental health services and treatments
• Perform detailed eligibility and benefits verification for behavioral health services
• Manage provider credentialing for mental health professionals
• Handle billing related to various mental health services including therapy sessions, psychiatric evaluations, and intensive outpatient programs
• Monitor and track denial trends specific to mental health claims
• Collaborate with insurance companies regarding mental health coverage and authorizations
• Generate and analyze reports to track key performance metrics
• Implement best practices for denial prevention in mental health billing
• Maintain accurate documentation while ensuring HIPAA compliance and patient confidentiality

Preferred Qualifications

• Experience with mental health or behavioral health billing
• Knowledge of specific mental health billing regulations and compliance requirements
• Understanding of mental health parity laws
• Bachelor's degree in Healthcare Administration, Finance, or related field
• Certifications in Medical Billing or Revenue Cycle Management

Benefits

• Comprehensive health insurance
• Competitive salaries
• 401K
• Volunteer programs
• Scholarship opportunities
• Remote work