Clinical Alliance Services (CAS) is a growing outpatient behavioral health practice serving Cambridge and the greater Boston community. We provide individual and couples psychotherapy to adults and are committed to delivering high-quality, culturally responsive care in an inclusive environment grounded in social justice. Our administrative team plays an essential role in ensuring clients receive timely, accessible care, and we are looking for a detail-oriented, proactive Billing Coordinator to join our team.
This is a remote, part-time 10 to 12 hour per week position. The schedule requires working daily M-F to allow timely communication with insurance companies and patients, although the specific hours are flexible within normal business hours.
Position Summary
The Billing Coordinator oversees the insurance billing process from benefit verification through claim payment while serving as the primary point of contact for insurance billing, claims management, patient billing inquiries and clinician billing inquiries. This position is ideal for someone who enjoys solving problems, improving processes, and taking ownership of the revenue cycle in a collaborative and mission-driven practice.
Responsibilities:
Insurance Claims Management
- Verify patients' behavioral health insurance eligibility and benefits and communicate benefit information to providers and patients.
- Maintain accurate insurance information within SimplePractice, including updating insurance changes and ensuring claims are submitted to the appropriate payer.
- Review claims for completeness and accuracy prior to submission.
- Submit insurance claims on a daily basis and monitor claim status through payment.
- Submit claims to secondary insurance carriers when applicable.
- Obtain, verify, and track prior authorizations as required (only applicable for psychological testing services) to ensure services are authorized and billed in accordance with payer requirements.
- Maintain an organized system for tracking payer-specific requirements, including:
- Timely filing deadlines
- Coordination of benefits
- Prior authorization requirements
- Appeals processes
- Other payer-specific billing requirements
Claims Resolution & Revenue Cycle Management
- Investigate rejected and denied claims; take appropriate action to resolve billing issues.
- Communicate with insurance companies to determine reasons for claim denials or delays and ensure timely resolution.
- Prepare and submit claim appeals as appropriate.
- Develop/maintain systems to track denied, rejected, and appealed claims until resolution.
- Research and resolve reimbursement issues, including coordination of benefits (COB), subscriber information errors, provider information discrepancies, duplicate claims, eligibility issues, and other claim processing errors.
- Monitor reimbursement trends and identify recurring issues contributing to claim denials.
- Recommend workflow improvements to increase billing efficiency and reduce claim rejections.
- Help ensure timely and accurate reimbursement by proactively identifying and resolving barriers to payment.
Administrative Responsibilities
- Coordinate responses to insurance audits and requests for documentation.
- Respond to insurance company requests for medical records and other documentation necessary to support claims processing and reimbursement.
- Maintain accurate billing documentation and records.
- Manage the billing department email inbox and respond promptly (daily) to billing-related inquiries from clinicians, clients, and insurance companies.
- Respond to provider billing inquiries regarding insurance benefits, client accounts, reimbursement issues, and billing corrections.
- Assist with biweekly payroll processing by generating appointment reports from SimplePractice and reconciling appointment activity with employee time records to verify hours worked and support accurate payroll preparation.
- Generate additional SimplePractice reports to support billing reconciliation and revenue cycle monitoring.
- Assist in developing and refining billing workflows and administrative procedures.
- Assist with occasional administrative tasks that support practice operations, including processing occasional medical records requests from clients and providers.
- Maintain the confidentiality of protected health information and ensure compliance with HIPAA and applicable payer requirements.
Required Qualifications:
- Minimum 2 years of outpatient medical insurance billing experience.
- Experience submitting and managing commercial insurance claims from submission through payment.
- Experience managing patient accounts receivable.
- Familiarity with CPT codes and modifier usage for medical claims.
- Strong organizational skills and exceptional attention to detail.
- Excellent written and verbal communication skills.
- Ability to work independently, prioritize multiple responsibilities, and manage deadlines in a remote work environment.
- High level of comfort learning and using technology.
Required Technical Skills:
- Proficiency with Microsoft Office, particularly Excel.
- Proficiency with Google Workspace (Docs, Sheets, Drive).
- Experience working with electronic health record (EHR) systems.
- Experience navigating insurance company websites and payer portals (e.g., Payspan, BCBS Provider Central)
Preferred Qualifications:
- 3 to 5+ years of medical insurance billing experience, particularly in behavioral health or another outpatient specialty practice.
- Experience billing for outpatient behavioral health services.
- Familiarity with coordination of benefits, prior authorizations, and appeals.
- Experience identifying process improvements and developing efficient billing workflows.
- Familiarity with ICD-10 diagnosis coding and outpatient behavioral health billing.
The ideal candidate is organized, dependable, and enjoys solving complex billing issues. They take ownership of their work, communicate professionally and compassionately with patients, providers, and insurance companies, and are motivated to improve systems and processes. They thrive working independently while collaborating with a small, supportive team committed to providing exceptional behavioral health care.
Schedule: Approximately 10 hours per week, consisting of 2 hours per weekday (Monday through Friday). Work hours are flexible within normal business hours but should be consistent from week to week to ensure timely responses to patient, provider, and insurance inquiries. Every other Monday, an additional 2 hours will be scheduled to assist with payroll preparation.
Compensation: $28–$32 per hour, depending on experience, qualifications, and demonstrated expertise in behavioral health insurance billing. Higher compensation may be considered for candidates with 10+ years of behavioral health revenue cycle experience.
Pay: $28.00 - $32.00 per hour
Benefits:
- Flexible schedule
- Paid time off
Application Question(s):
- Do you have a minimum 2 years of outpatient medical insurance / claims billing experience? Please note this is a requirement.
- Do you reside in Massachusetts? Please note that although this is a remote position, it is only available to residents of Massachusetts. Please do not apply if you do not reside in Massachusetts, as your application will be screened out due to a high volume of applications. The ONLY exception to this is for applicants with specific experience working with the Simple Practice EHR/medical billing system (see www.simplepractice.com).
- Do you have specific experience in OUTPATIENT BEHAVORIAL HEALTH billing/claims? We can only consider applicants who have billing experience specifically in the behavioral health field and, unfortunately, cannot consider applicants with billing experience in other medical specialties due to a high volume of applications. If you do not have experience in behavioral health billing, your application will be screened out.
Work Location: Remote
