Outpatient Mental Health Billing Specialist

Family Pathways is seeking an experienced and detail-oriented Outpatient Mental Health Billing Specialist to support our outpatient behavioral health and mental health services. This position is an essential part of our revenue cycle team, ensuring accurate claims submission, timely reimbursement, and billing support that helps expand access to quality mental health care. If you have a background in healthcare billing—especially behavioral health, Medicaid, or insurance claims—we encourage you to apply. Key Responsibilities Submit and manage outpatient mental health and behavioral health claims to Medicaid, and commercial insurance payers Verify client insurance coverage, benefits, and authorization requirements Track and resolve unpaid or denied claims through follow-up and appeals Review Explanation of Benefits (EOBs) and correct billing discrepancies Ensure accurate use of CPT codes, ICD-10 diagnosis codes, and required modifiers Work closely with clinical staff to ensure proper documentation for billing compliance Maintain complete and accurate billing records within the EHR and billing systems Respond to client billing inquiries with professionalism and confidentiality Assist with billing reports, reconciliation, and other revenue cycle functions as needed Assist with professional credentialing Qualifications Required High school diploma or equivalent 3+ years of experience in medical billing, insurance claims, or healthcare revenue cycle Knowledge of Medicaid billing processes and payer requirements Familiarity with CPT, ICD-10, and outpatient claims submission Strong attention to detail, organization, and communication skills Preferred Experience in outpatient mental health, counseling, or substance use billing Knowledge of Pennsylvania Medicaid/managed care billing procedures Experience with electronic health records (EHR) or billing software systems Associate degree or billing certification (CPB, CPC, or similar) Benefits Family Pathways offers a supportive, mission-driven environment and competitive benefits, which may include: Health, dental, and vision insurance Paid time off and holidays Retirement plan options Professional development opportunities Meaningful work supporting community mental health services Competitive salary Apply Today Submit your resume directly through Indeed or email: pathways@familypathways.net Family Pathways is an Equal Opportunity Employer. Pay: $22.00 - $28.00 per hour Benefits: 401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Professional development assistance Vision insurance Work Location: In person