Position Title: Billing and Insurance Claims Specialist

Location: REMOTE, US

Employment Type: Commission-only

About Therapy Insights Practice:

Therapy Insights Practice is a dynamic and mission-driven group psychotherapy practice dedicated to providing high-quality care to our clients all throughout the United States. Our clinicians offer both hybrid (in-person and virtual) and virtual-only psychotherapy services. We pride ourselves on creating a supportive, growth-oriented environment for our clinicians, helping them achieve professional fulfillment and excellence.

Position Summary:

We are currently seeking a knowledgeable and experienced Billing and Insurance Claims Specialist to join our team. The Billing and Insurance Claims Specialist is responsible for managing the billing processes and insurance claims for Therapy Insights Practice. This role requires extensive knowledge of insurance carriers, EHR systems, CPT and ICD codes, billing guidelines, and compliance. The specialist will work closely with clinicians, training and educating them on billing processes, and ensure accurate and timely submission of claims.

Key Responsibilities:

Insurance Claims Management:

Handle all aspects of insurance claims processing for various carriers.

Ensure accurate and timely submission of insurance claims using multiple EHR systems such as Alma, Headway, Therapy Notes, and TherapyIQ.

Verify insurance eligibility and benefits for patients.

Address and resolve claim denials and discrepancies promptly.

Billing Processes:

Manage the entire patient billing cycle, including the importance of modifiers, location of service, CPT, and ICD codes.

Ensure compliance with the most up-to-date billing and claims guidelines.

Maintain expertise in billable and service codes.

Training and Education:

Train and educate clinicians on the billing process and documentation requirements.

Provide updates on any changes in billing guidelines and insurance policies.

Compliance and Audits:

Conduct regular audits of billing and claims processes to ensure compliance with provider and EHR requirements.

Familiarity with PHI compliance, particularly regarding Stripe payment methods.

Improving Billing Efficiency:

Implement strategies to significantly reduce back-billing and backlogs.

Improve turnaround times from insurance claim submissions to insurance claim approval.

Manage client aging balance summaries and ensure timely follow-up.

Credentialing and Rate Negotiations:

Knowledgeable in the credentialing process for providers.

Expert in negotiating insurance rates to maximize reimbursement.

Incident-To and Supervisory Billing:

Familiar with incident-to billing and supervisory billing guidelines and ensure adherence to these practices ​(Incident to billing (1))​.

Qualifications:

Bachelor’s degree in Business, Healthcare Administration, or related field preferred.

Minimum of 3-5 years of experience in medical billing and insurance claims processing.

Extensive knowledge of insurance carriers and billing guidelines.

Proficiency in multiple EHR systems, including Alma, Headway, Therapy Notes, and TherapyIQ.

Proven track record of reducing back-billing and backlogs, and improving claim turnaround times.

Strong understanding of CPT and ICD codes.

Excellent communication and interpersonal skills.

Detail-oriented with strong organizational and multitasking abilities.

Ability to work independently and as part of a team.

Proficient in using billing software and Microsoft Office Suite.

What Sets Us Apart:

Compensation: We differentiate ourselves from other practices, agencies and organizations due to our generous compensation plan

Flexibility: Choose a work schedule and location that suits your lifestyle—fully remote, hybrid, or in-office in Manhattan.

Mission-Driven: Join a practice with a strong focus on mission and purpose, where you can achieve professional fulfillment and make a meaningful impact.

Back-Office Support: Benefit from extensive administrative support, including client intake, billing, and claims processing, allowing you to focus on client care.

Collaborative Team: Be part of a supportive virtual and in-person team that emphasizes collaboration, continuous improvement, and community.

Group Supervision: Participate in compensated group supervision sessions to learn, earn required clinical social hours, and enhance your skills.

Career Growth: Take advantage of opportunities for career advancement, including leadership and supervisory roles.

Compensation:

Commission-only.

Benefits:

Flexible schedule

Opportunity for advancement

Opportunity for advancement

Training & development

How to Apply:

Interested candidates are invited to visit our website at Therapy Insights Practice to learn more about us.

To apply, please send your resume to careers@therapyinsightspractice.com.

Please make sure your LInkedIn Profile is included and updated.

Equal Opportunity Employer: Therapy Insights Practice is an LGBTQ+ owned and allied practice. We are committed to providing an inclusive and welcoming environment for all clients and team members, and we encourage applications from individuals of all backgrounds and identities.

This is a remote position.