Claim Billing Support Specialist

Talkiatry transforms psychiatry with accessible, human, and responsible care. We’re a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist to solve the problems both groups face in accessing and providing the highest quality treatment.   

60% of adults in the U.S. with a diagnosable mental illness go untreated every year because care is inaccessible, while 45% of clinicians are out of network with insurers because reimbursement rates are low and paperwork is unduly burdensome.   With innovative technology and a human-centered philosophy, we provide patients with the care they need—and allow psychiatrists to focus on why they got into medicine. 

About the role: 

The Claim Billing Specialist is essential to Talkiatry’ s continued financial and operational success. The Specialist is an integral part of the revenue cycle team and will support our rapid growth and care delivery model. The Claim Billing Specialist will follow the established job performance standards for the position and must have fundamental knowledge of billing, collection, and insurance reimbursement procedures and methodologies.

The Claims Billing Support Specialist performs a variety of functions including but not limited to review, correction and reprocessing of the clearinghouse rejections, ensure timely secondary claim processing and integrity of claim billing readiness. The Claim billing Support specialist may be assigned a task for providers ERA payer enrollment, maintenance of payer Portal access and processing of insurance payor additions/changes after approval from AR Manager – Claim Billing support.

The CBS Specialist will be responsible for execution of the rejections root cause analysis and implementation of necessary changes to ensure timely and accurate cash flow.

You will:

• Be responsible for the integrity of claims prior to billing
• Monitor major payor changes/updates.
• Update claims according to Incident to billing – if applicable
• Correct provider mapping issues
• Maintain Payor Portal access
• Support the Implementation and updates to departmental policies.
• Ensure daily resolution of clearinghouse/ payer rejections
• Process requests for insurance payor additions or changes upon approval from the AR Manager.
• Ensure timely processing of primary electronic/paper and secondary claims.
• Notify CBS Manager of payor related issues causing rejections
• Train, audit and work with offshore teams performing similar work
• In partnership with the AR manager engage with the Coding, Billing, and Collections Managers to identify root causes of rejections
• Ensure compliance with standard billing procedures
• Responsible for continuous efforts to enroll providers with payers EDI
• Prepare, review and transmit electronic/paper claims using billing software.
• Adhere to productivity goals and departmental guidelines

Your Qualifications:

• A bachelor's degree is preferred but not required
• Minimum 2-3 years of medical billing experience in any healthcare specialty
• Experience with eClinicalWorks, Candid, TriZetto or Change Healthcare a plus but not required

Why Talkiatry:

• Top-notch team: we're a diverse, experienced group motivated to make a difference in mental health care 
• Collaborative environment: be a part of building something from the ground up at a fast-paced startup  
• Flexible location: work where you want to, either remotely across the U.S. or from our HQ in NYC  
• Excellent benefits: medical, dental, vision, effective day 1 of employment, 401K with match, generous PTO plus paid holidays, paid parental leave, and more!
• Grow your career with us: hone your skills and build new ones with our Learning team as Talkiatry expands  
• It all comes back to care: we’re a mental health company, and we put our team’s well-being first 
• Compensation range for this position is $55,000 to $60,000, depending on experience; actual compensation will be dependent upon the specific role, location, as well as the individual’s qualifications, experience, skills and certifications.

At Talkiatry, we are an equal opportunity employer committed to a diverse, inclusive, and equitable workplace and candidate experience. We strive to create an environment where everyone has a sense of belonging and purpose, and where we learn from the unique experiences of those around us.

We encourage all qualified candidates to apply regardless of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status.