3+ years of experience in healthcare revenue cycle management, with at least 2 years in mental health billing., Deep understanding of CPT coding and insurance claim processing., Excellent communication skills to explain complex billing concepts to diverse staff., Proficiency in electronic health record (EHR) systems and practice management software..
Key responsabilities:
Review insurance claims for accuracy and completeness before filing.
Analyze and resolve complex billing issues, denials, and appeals in collaboration with billing partners.
Develop relationships with clinic owners and practice managers to enhance billing processes.
Stay updated on industry trends and regulatory changes affecting mental health billing.
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Osmind is a San Francisco–based public benefit corporation led by scientists, technologists, and psychiatrists to advance new evidence-generating medicine that helps people living with moderate to severe mental health conditions. For more information, please visit osmind.org.
We're hiring! Learn more at osmind.org/careers
Osmind is a technology, services, and data company focused exclusively on psychiatry. Mental health disorders are one of the leading causes of death worldwide and are tied to shortening lifespans. Yet, we have cause for hope: there have been developments in new psychiatric medications since the first FDA approval in 1954, such as new treatments like ketamine, Spravato, and neuromodulation. Now, there is a growing movement among clinicians, patients, and researchers to close the gap between this scientific innovation and better real-world care.
At Osmnid, we serve a network of 800+ independent psychiatry practices across 49 states. We help these clinics effectively provide high-quality care, scale as businesses, and contribute to research with our purpose-built EHR, software solutions, clinician community, and managed services. Our providers are at the forefront of psychiatry, offering innovative interventions and treating some of the highest acuity patients in the country.
Osmind is a San Francisco–based public benefit corporation backed by top investors including DFJ Growth, Future Ventures, General Catalyst, and Y Combinator.
Role Overview
We are expanding our services to include revenue cycle management (RCM) support for our network of psychiatric clinics. This is a critical initiative to help clinics improve their financial performance and focus on delivering high-quality patient care.
Kay Responsibilities
Review insurance claim prior to filing for accuracy and completeness
Review medical documentation to ensure that all charges are captured and coded correctly
Work clearinghouse rejections ensuring that claims are filed in a timely manner
Provide expert guidance on mental health billing, with a specific focus on complex treatments like TMS and Spravato
Analyze, document and escalate to resolve complex billing issues, denials, and appeals in partnership with our billing partners
Develop and maintain relationships with key stakeholders including clinic owners, practice managers, and billing company leadership
Become the internal Subject Matter Expert on our billing software. Contribute to the development and refinement of our billing services, working closely with our product and operations teams
Stay up-to-date on industry trends, regulatory changes, and payer policies that impact mental health billing serving as an expert for internal resources
Required Qualifications
3+ years of experience in healthcare revenue cycle management, with at least 2 years specifically in mental health or behavioral health billing
Deep understanding of CPT coding, insurance claim processing, and payer reimbursement models
Demonstrated expertise in billing for TMS, Spravato, and other interventional psychiatric treatments
Excellent communication and interpersonal skills, with the ability to explain complex billing concepts to both clinical and non-clinical staff
Proficiency in electronic health record (EHR) systems and practice management software
Preferred Qualifications
Experience working in or consulting for an MSO or large psychiatric practice group
Familiarity with value-based care models and alternative payment structures in mental health
Knowledge of healthcare compliance regulations (e.g., HIPAA, Stark Law)
Experience with data analytics tools and generating actionable insights from RCM data
A Successful First Year Might Look Like...
Onboarding and optimizing RCM processes for multiple psychiatric clinics, resulting in an improvement in collection rates
Developing and implementing best practices for TMS and Spravato billing that reduce denial rates
Required profile
Experience
Spoken language(s):
English
Check out the description to know which languages are mandatory.