Medical Billing & Revenue Cycle Lead

Benefits:

• 401(k) matching
• Competitive salary
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Training & development
• Vision insurance

Ellie Mental Health of Chelmsford is seeking an experienced and compassionate individual that will lead revenue cycle management (RCM) for our rapidly growing group practice.

The Medical Billing & Revenue Cycle Lead position will be a full-time position (W-2) although there will be a transitional period from our existing billing service where the role will be part-time.

This position can be remote or hybrid (we have offices in Chelmsford, MA) and the hours are flexible.

What we offer

• Competitive compensation
• Health benefits including medical, dental, and vision
• 401(k) matching retirement plan
• Paid Time Off (PTO)
• Dedication to a team approach and atmosphere
• Flexible schedule

Essential Job Functions and Duties

• Conduct insurance verifications to understand patient insurance benefits and document in EHR.
• Collaborate with behavioral health providers as needed and obtain outstanding documentation.
• Review electronic remittance advice (ERA) to reconcile with insurance and patient balances.
• Monitor and follow up on unpaid, underpaid, or denied claims, including appeals and resubmissions, to ensure timely reimbursement and resolution of payment issues.
• Work closely with clinicians and leadership to resolve errors.
• Send patient statements, settles patient balances and manage patient payment plans.
• Place outbound calls to patients regarding past due balances or defaulted payment plans.
• Take inbound calls and emails from patients regarding account questions.
• Review patient credit balances and process refunds as needed.
• Uphold patient confidentiality and adhere to all HIPAA (Health Insurance Portability and Accountability Act) regulations in handling and protecting sensitive behavioral health information.
• Report regularly on assigned responsibilities including A/R, trends, payments, balances, and claim errors.
• Performs other duties as assigned.

Necessary Skills/Abilities/Education

• High School Diploma or equivalent required.
• Desired minimum 2 years experience in medical billing, with a preference for mental health billing.
• Solid understanding of billing software and electronic medical records.
• Solid understanding of medical insurance billing, deductibles, and copays.
• Must have the ability to multitask and manage time effectively.
• Must demonstrate calm, rational thinking and clear communication when faced with deadlines and customer demands.
• Attention to detail and organizational skills.
• Familiarity with electronic health record (EHR) system Valant is a major plus (candidates with this experience will be given preference).
• Excellent written and verbal communication skills.
• Outstanding problem-solving and organizational abilities.
• Exceptional customer service skills.
• Must have a working smartphone and reliable access to internet.

Flexible work from home options available.