Benefits:

Paid time off

Training & development

A growing outpatient mental health group practice in Massachusetts is seeking an experienced Senior Medical Biller to lead billing operations and revenue follow-up for psychotherapy and psychiatric medication management services.

This role is ideal for someone who understands Massachusetts payers deeply, is comfortable owning billing decisions, and can work collaboratively within a team environment. We are looking for a biller who values accuracy, accountability, and open communication.

Position Overview

The Senior Medical Biller will own the full billing cycle and serve as the primary point person for claims, denials, payer communication, and clearinghouse issues. While billing support staff may assist with insurance verification and administrative tasks, this role carries responsibility for billing strategy, follow-up, and revenue protection.

Key Responsibilities

Submit, manage, and track claims for outpatient mental health services

Work directly with Massachusetts commercial insurers and MassHealth managed care plans

Monitor accounts receivable and proactively follow up on unpaid, denied, or rejected claims

Investigate and resolve claim rejections, denials, and underpayments in a timely manner

Communicate regularly with insurance payer support lines and clearinghouses

Identify denial patterns and recommend system or workflow improvements

Ensure compliance with payer-specific billing and documentation requirements

Stay current on billing rule changes, payer updates, and mental health coding guidelines

Collaborate with clinical and administrative staff to resolve documentation or coding issues

Support accurate reporting and provide updates on billing trends and risks

Respond professionally to billing questions from staff or clients when needed

Required Qualifications

2–3+ years of experience in mental health billing

Direct experience billing in Massachusetts (required)

Strong familiarity with:

MassHealth managed care plans

Massachusetts commercial payers

Demonstrated experience with:

Claim rejections and denials

Appeals and corrections

Coordination of benefits issues

Comfortable calling insurance companies and navigating payer systems independently

Solid understanding of CPT coding and diagnosis placement for mental health services

Highly organized, detail-oriented, and able to manage follow-ups without close supervision

Preferred Qualifications

Bilingual (English/Spanish) – strongly preferred

Experience billing for group practices with multiple clinicians

Familiarity with TherapyNotes or similar behavioral health EHRs

Experience billing both psychotherapy and psychiatric medication management

Knowledge of Massachusetts telehealth billing requirements

Work Environment & Schedule

Part-time or full-time opportunities available (based on experience)

Remote or hybrid options may be considered

Billing support staff available for insurance verification and administrative tasks

Collaborative, team-based work environment

Compensation

$32–40 per hour, based on experience and Massachusetts mental health billing expertise

Additional Information

Practice name and additional details will be shared with candidates selected for interview.

Applicants should be prepared to discuss their experience handling Massachusetts mental health claims, payer denials, and billing workflows.

This is a remote position.