Medical Biller

Medical Biller

Salary: $60,000-$70,000 annually

Schedule: Full-Time | 37.5 hours/week

WHY JOIN NEWPORT MENTAL HEALTH?

At Newport Mental Health, we invest in our employees by offering competitive pay, exceptional time-off benefits, opportunities for professional growth, and a supportive, mission-driven culture.

What We Offer…

• 3 weeks of paid time off (PTO) to start, with additional PTO for Director-level roles
• Up to 11 paid holidays each year
• 1 paid Flex Holiday each year
• Separate paid personal days
• Separate paid sick time
• $3,000 annual bilingual pay incentive
• Medical, dental, and vision coverage
• Flexible Spending Accounts (FSA) and Dependent Care Accounts
• 403(b) retirement savings plan
• Company-paid life insurance
• Tuition reimbursement
• Employee Assistance Program and wellness resources

*Benefits and eligibility vary by position, scheduled hours, and employment status; additional criteria may apply to certain benefits and incentives.

WHO WE ARE…

Newport Mental Health (NMH) is a progressive high-energy organization that uses state of the art person-centered recovery approach to help individuals recover from mental illness and substance use disorders. NMH extends its trauma informed evidence-based services to children, adolescents, families, and adults. Our services vary from outreach, specialized program, mental health, school-based therapy, substance use therapy, community-based therapy, and outpatient clinic.

For more information visit our website: www.newportmentalhealth.org

WHO WE ARE LOOKING FOR…

Mission- Aligned: You are excited to be a part of Newport Mental Health’s mission to improve the lives of our clients living and working in Newport County by providing the highest quality of care.

Ally: You intentionally foster belonging, personal growth, and empowerment for all. You are a strong advocate for the BIPOC, LQBTQIA+, Woman, Veteran, and other underrepresented communities.

Solution Orientated: You are driven to think of different approaches to narrow the gap which leads to positive and effective changes.

Time Management: You are a conscious planner and a thoughtful decision maker who adheres to deadlines.

WHAT YOU WILL BE DOING (ESSENTIAL DUTIES) …

The CCBHC Medical Biller supports timely, accurate reimbursement by coding services, submitting claims, resolving denials and payment discrepancies, and maintaining complete billing documentation. This role requires working knowledge of the Prospective Payment System (PPS) model, Medicaid and commercial payer billing requirements, and compliance with applicable state and federal CCBHC guidelines.

Main Duties and Responsibilities:

• Execute end-to-end CCBHC billing, including PPS-2 claim/encounter submission, ensuring all encounter and payer requirements are met.
• Ensure accurate coding and claim quality (ICD-10/CPT) for behavioral health, SUD, and integrated services; partner with clinical/operational teams to resolve documentation and coding gaps.
• Submit electronic claims via clearinghouse/EDI to Medicaid, Medicare, and commercial payers; identify and resolve submission rejections and system edits.
• Manage denials and underpayments by researching issues, correcting/resubmitting claims, filing appeals, and communicating with payers; analyze denial trends and recommend process improvements to maximize reimbursement.
• Maintain patient accounts and billing data (demographics, insurance, eligibility verification, and authorizations) to support clean claims and timely payment.
• Post payments/adjustments and reconcile EOBs/remittances; ensure accurate cash posting and account reconciliation.
• Perform A/R follow-up and patient balance resolution, including proactive outreach and clear communication regarding financial responsibility and billing questions.
• Maintain compliant billing documentation and support audits, compliance reviews, reporting, and related revenue cycle activities as assigned.