Saafe Behavioral Svcs.
Senior Billing Associate - Payment Posting for Mental Health Services
Saafe Behavioral Svcs., Deland, Florida, us, 32723
Job Summary
The Senior Billing Associate – Payment Posting 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, supporting follow‑up activities, and optimizing revenue for services provided by psychiatrists and mental health counselors. Key Responsibilities
Accurately post insurance payments, patient payments, contractual adjustments, объектив 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 postingaints discrepancies and route accounts for appropriate follow‑up or appeal
Reconcile payments to daily пре deposits, lockbox reports, and remittance files to ensure financial accuracy
Research and resolve complex payment variances and postings 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 keeping contracts, CMS guidelines, Medicaid regulations, and internal policies
Maintain strict confidentiality and compliance with HIPAA and mental health privacy requirements
Serve as a resource and mentor to junior billing staff as needed
Qualifications
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
Preferred Skills and Certifications
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
Work Environment
Office‑based
Standard business hours; occasional deadlines tied to month‑end close or audits
Primarily computer‑based
Physical Requirements
Ability to sit for extended periods and perform detailed computer‑based work
Ability to review and analyze detailed financial_filtration and billing information on a computer screen
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The Senior Billing Associate – Payment Posting 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, supporting follow‑up activities, and optimizing revenue for services provided by psychiatrists and mental health counselors. Key Responsibilities
Accurately post insurance payments, patient payments, contractual adjustments, объектив 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 postingaints discrepancies and route accounts for appropriate follow‑up or appeal
Reconcile payments to daily пре deposits, lockbox reports, and remittance files to ensure financial accuracy
Research and resolve complex payment variances and postings 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 keeping contracts, CMS guidelines, Medicaid regulations, and internal policies
Maintain strict confidentiality and compliance with HIPAA and mental health privacy requirements
Serve as a resource and mentor to junior billing staff as needed
Qualifications
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
Preferred Skills and Certifications
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
Work Environment
Office‑based
Standard business hours; occasional deadlines tied to month‑end close or audits
Primarily computer‑based
Physical Requirements
Ability to sit for extended periods and perform detailed computer‑based work
Ability to review and analyze detailed financial_filtration and billing information on a computer screen
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