Secondary Biller / Revenue Cycle Specialist

Part-Time Secondary Biller / Revenue Cycle Specialist

The Part-Time Secondary Biller / Revenue Cycle Specialist is responsible for the timely and accurate submission, follow-up, and resolution of insurance claims to ensure consistent cash flow for the practice. This role focuses on day-to-day billing operations, including claims processing, payment posting, and accounts receivable follow-up.

About The Center for Trauma, Stress, and Anxiety, LLC

The Center for Trauma, Stress, and Anxiety, LLC, is a growing multidisciplinary group mental health practice with a mission to be the premier integrative health and wellness resource for trauma and anxiety in our community. We have two locations (Bel Air and Nottingham), as well as the Get Centered Studio in Bel Air which offers vibrational sound healing, therapeutic yoga, meditation, and more. We are looking to meet the growing needs of our communities and add clinicians (Counselors, Social Workers, Psychology Associates, and Psychologists) to our incredible, multidisciplinary team who have a passion for trauma and anxiety work. If you are looking to be part of an exceptional team, focused on treating trauma and anxiety in an integrative, collaborative setting, you're in the right place!

Description

Key Responsibilities:

Claims Submission & Management

• Submit insurance claims daily with a high level of accuracy
• Review claims for errors prior to submission (coding, demographics, authorizations)
• Resolve claim rejections and resubmit promptly

Accounts Receivable (A/R) Follow-Up

• Monitor outstanding claims and follow up on unpaid balances
• Contact insurance companies regarding claim status
• Work aging reports to ensure timely reimbursement

Denial Management

• Identify and resolve routine claim denials (e.g., missing information, coding errors)
• Correct and resubmit denied claims in a timely manner
• Escalate complex or recurring issues to Practice Manager

Payment Posting & Reconciliation

• Post insurance payments (ERAs/EOBs) accurately
• Reconcile discrepancies between expected and received payments
• Flag underpayments or irregularities

Patient Billing Support

• Assist with basic patient billing inquiries
• Process patient payments and support payment plans as needed

Other Duties as Assigned: Perform additional responsibilities as needed to support the administrative, operational and financial health of the practice.

Qualifications:

• High school diploma or equivalent; associate's or bachelor's degree preferred.
• Prior experience in a healthcare or customer service setting is highly desirable.
• 13+ years of medical billing experience (behavioral health preferred)
• Familiarity with CPT codes, insurance processes, and EHR systems
• Strong attention to detail and organization
• Ability to manage multiple claims and follow-ups simultaneously
• Comfortable communicating with insurance companies and providers
• Proficiency with office software and electronic health record (EHR) systems.
• Ability to handle sensitive information with discretion and maintain client confidentiality.

Success in This Role Looks Like

• Claims are submitted daily and error-free
• A/R is actively worked with minimal backlog
• Denials are resolved quickly and do not accumulate
• Billing operations run smoothly without requiring constant oversight

KPIs / Weekly Scorecard

• ? 98% claims submitted within 2 business days
• ? 95% Average Claim Acceptance Rate
• Average number of days in A/R < 30 days
• Payment Collection Rate ? 95%
• Avg Time to Denial Discovery: < 6 days
• Avg Time to Rejection Resolution: < 7 days
• Denial Rate: < 5%
• Patient Aging Report ? 90% in 0-30 days
• Insurance Aging Report ? 75% in 0-30 days and < 2% unbilled
• 100% of unpaid insurance claims followed up every 1421 days