Virtual Assistant - Medical Billing/Credentialing
Lighthouse Psychiatry Brain Health Center
·2 days ago
- Location
- Gilbert, Arizona, US
- Workplace
- Remote
- Type
- Full-time, Part-time
- Department
- Healthcare
- Source
- BetterTeam
Description
Virtual Assistant (VA) – Medical Billing / Credentialing (Psychiatry).
Company: Lighthouse Psychiatry | Arizona.
Location: Remote (US, Philippines, Vietnam, India, Mexico).
Job Type: Full-time / Part-time (Night Shift / U.S. Business Hours).
Industry: Healthcare / Medical Billing / Behavioral Health.
Location: Remote (US, Philippines, Vietnam, India, Mexico).
Job Type: Full-time / Part-time (Night Shift / U.S. Business Hours).
Industry: Healthcare / Medical Billing / Behavioral Health.
Hire Model: Direct hire (Contract).
Pay: Based on level of experience (opportunity for growth).
Position Summary:
Lighthouse Psychiatry is seeking a highly organized Medical Billing & Credentialing Specialist responsible for managing the revenue cycle from patient eligibility through claim resolution while ensuring providers remain properly credentialed with commercial and government payers. This role is essential to maximizing reimbursement, maintaining payer compliance, and supporting the growth of our outpatient psychiatry, TMS, Spravato, IV ketamine, and psychotherapy programs.
The ideal candidate has experience with psychiatric billing, athenaOne, insurance credentialing, and payer relations, with the ability to work independently while maintaining exceptional attention to detail.
Primary Medical Billing & Revenue Cycle Responsibilities:
Patient Registration & Front-End Revenue Cycle:
- Verify insurance eligibility and benefits.
- Update insurance information and demographics.
- Review appointment schedules for insurance issues.
- Identify authorization requirements.
- Resolve registration and eligibility errors.
- Manage insurance verification work queues.
Charge Capture:
- Review encounters for billing completeness.
- Enter charges accurately.
- Validate CPT and ICD-10 coding consistency.
- Identify missing documentation.
- Process no-show billing when applicable.
- Upload supporting documentation.
Claims Management:
- Submit electronic claims.
- Correct claim edits.
- Monitor claim acceptance.
- Review claim history.
- Submit corrected claims.
- Process secondary claims.
- Coordinate benefits (COB).
- Monitor telehealth claims.
Accounts Receivable:
- Follow up on unpaid claims.
- Investigate denied claims.
- Resolve payer edits.
- Prepare appeals.
- Monitor aging reports.
- Review payment variances.
- Research patient accounts.
- Process insurance corrections.
- Manage collection worklists.
Payment Posting:
- Post insurance payments.
- Post patient payments.
- Process credit card transactions.
- Interpret EOBs and ERAs.
- Resolve payment discrepancies.
- Review credit balances.
Specialty Psychiatry Billing:
Independently manage billing for:
- Medication Management.
- Psychiatric Evaluations (90791/90792).
- Psychotherapy.
- Add-on psychotherapy codes.
- Telepsychiatry.
- TMS.
- Spravato.
- IV Ketamine.
- Urine Drug Screening.
- Prior Authorizations.
Credentialing Responsibilities (if applicable):
Manage the credentialing lifecycle for psychiatrists, psychiatric nurse practitioners, psychologists, therapists, and other clinical staff.
Responsibilities include:
- Complete initial payer enrollment applications.
- Process provider recredentialing.
- Maintain CAQH profiles.
- Track provider license expiration.
- Monitor DEA registrations.
- Track board certifications.
- Monitor malpractice insurance expiration.
- Maintain provider credentialing files.
- Submit supporting documentation.
- Communicate with insurance companies.
- Track credentialing status.
- Maintain provider rosters.
- Complete demographic updates.
- Assist with new provider onboarding.
- Ensure compliance with payer requirements.
- Monitor participation status.
- Maintain provider directories.
Required Knowledge:
Strong understanding of:
- CPT coding.
- ICD-10 diagnosis coding.
- Medical terminology.
- HIPAA regulations.
- EOB interpretation.
- Revenue Cycle Management.
- Insurance eligibility.
- Claim adjudication.
- Prior authorization requirements.
- Coordination of Benefits (COB).
- Medicare billing.
- AHCCCS billing.
- Commercial insurance billing.
Qualifications:
Required:
- 2+ years of medical billing experience.
- 1+ year of insurance credentialing experience.
- Experience with commercial insurance and Medicare.
- Strong computer proficiency.
- Excellent organizational skills.
- Ability to manage multiple deadlines.
- Strong written and verbal communication.
- Clean claim rate high.
- First-pass claim acceptance rate high.
- Payment posting accuracy.
- Work queue completion rate high.
- Productivity standards high.
- Documentation accuracy high.
Preferred:
- Behavioral health or psychiatry billing experience.
- athenaOne experience.
- AHCCCS experience.
- CPC, CPB, or equivalent certification.
- Credentialing experience with multi-provider practices.
Ideal Candidate:
The ideal candidate is detail-oriented, analytical, and proactive, with the ability to independently manage both revenue cycle operations and provider credentialing. They thrive in a fast-paced outpatient behavioral health environment and are committed to improving reimbursement, reducing denials, and ensuring uninterrupted payer participation for providers.
This job description aligns closely with the competency framework in your Billing Skills Tracker while converting it into a market-ready hiring document suitable for Indeed, LinkedIn, or internal HR use. It is particularly tailored for an Arizona psychiatry practice using athenaOne and managing commercial insurance, Medicare, and AHCCCS.
Keywords:
Virtual Assistant, Healthcare Virtual Assistant, Medical Billing VA, Insurance Verification VA, Prior Authorization VA, Telehealth VA, Revenue Cycle Assistant, Medical Billing, Claims Processing, Insurance Verification, Prior Authorization, Revenue Cycle Management (RCM), Denial Management, EOB Reconciliation, Patient Intake, Appointment Scheduling, Data Entry, HIPAA Compliance, EMR/HER, CPT Codes, ICD-10, HCPCS, Claims Submission, Eligibility Checking, Payer Portals, Medical Coding, Billing Software, Athena, DrChrono, Kareo, AdvancedMD, Epic, Practice Fusion, Behavioral Health, Psychiatry, Mental Health, Telemedicine, Telehealth, Healthcare Administration, Patient Access, Front-End Billing, Back-End Billing, Remote, Philippines, Night Shift, Offshore Healthcare, Home-Based, Virtual Office.
Skills
EMREpicAccounts ReceivableComplianceHIPAA
