Behavioral Health Outpatient Billing Specialist

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🔥 1 minute ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟢 Junior

📊 Billing Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 12%

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Integrated Care for Greater Health, Inc. (ICGH)

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2006

🏥 Healthcare

🌍 Social Impact

Healthcare • Social Impact

Integrated Care for Greater Health, Inc. (ICGH) is a North Carolina-based provider of comprehensive behavioral health and substance-use recovery services. ICGH operates a continuum of care including 24-hour inpatient and stabilization services, withdrawal management, residential treatment, outpatient behavioral health and psychiatry, medication for opioid use disorder (MOUD/MAT), pharmacy services, statewide telehealth (Bupe. Online), mobile integrated care, peer support, recovery housing, and justice- and school-based programs. ICGH runs multiple community clinics and a residential campus across North Carolina and emphasizes connections between clinical care, peer services, housing, transportation, and community partnerships to support long-term recovery.

📋 Description

• Prepare, submit, and manage claims for behavioral health services to Medicaid, Medicare, and commercial insurance payers • Verify patient insurance eligibility, benefits, authorizations, and coverage requirements • Ensure services are billed accurately using appropriate CPT, HCPCS, ICD-10, and place-of-service codes • Review clinical documentation to support prior authorization submissions and ensure compliance with payer authorization guidelines • Post payments, adjustments, and denials accurately in the billing system • Identify, research, and resolve claim denials, underpayments, and rejections • Submit appeals and corrected claims within payer deadlines • Monitor accounts receivable and follow up on outstanding claims to ensure timely reimbursement • Communicate with clinicians, supervisors, and insurance representatives regarding billing issues • Ensure compliance with payer requirements, state and federal regulations, and organizational policies while maximizing reimbursement and minimizing denials

🎯 Requirements

• High school diploma or equivalent • Minimum of 1–2 years of medical billing experience, preferably in behavioral or mental health • Knowledge of behavioral health billing codes, modifiers, and documentation requirements • Familiarity with Medicaid, Medicare, and commercial insurance billing processes • Experience with electronic health record (EHR) and practice management systems • Strong attention to detail and accuracy • Ability to manage multiple tasks and meet deadlines • Strong analytical and problem-solving skills • Excellent written and verbal communication skills • Ability to work independently and as part of a team • Confidentiality and professionalism when handling sensitive patient information • Proficiency in Microsoft Office (Excel, Word) • Experience with outpatient behavioral health billing preferred • Experience billing Intensive Outpatient Program (IOP) and Substance Abuse Comprehensive Outpatient Treatment (SACOT) services preferred, but not required • Familiarity with behavioral health payer requirements, authorization processes, and claims submission

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