Saafe Behavioral Services · 2 days ago
Senior Billing Associate - Payment Posting for Mental Health Services
DeLand, FL
Full-time
Onsite
Mid, Senior Level
3+ years expSaafe Behavioral Services is seeking a Senior Billing Associate – Payment Posting responsible for the accurate and timely posting of payments for mental health services. This role requires advanced knowledge of payer reimbursement methodologies and plays a key role in maintaining financial accuracy and optimizing revenue.
Child CareHealth CarePsychologyWomen's
Responsibilities
Accurately post insurance payments, patient payments, contractual adjustments, and refunds for Medicaid, Medicare, and commercial payers
Review and interpret EOBs and ERAs, including complex payment scenarios such as multiple payers, secondary claims, and coordination of benefits
Apply payer-specific reimbursement rules, fee schedules, and contractual adjustments
Identify underpayments, overpayments, denials, and posting discrepancies and route accounts for appropriate follow-up or appeal
Reconcile payments to daily deposits, lockbox reports, and remittance files to ensure financial accuracy
Research and resolve complex payment variances and posting issues independently
Maintain accurate patient account balances to support accounts receivable follow-up and financial reporting
Collaborate closely with charge entry, coding, and follow-up teams to resolve billing and reimbursement issues
Support month-end close, audits, and payer reconciliations
Ensure compliance with payer contracts, CMS guidelines, Medicaid regulations, and internal policies
Maintain strict confidentiality and compliance with HIPAA and mental health privacy requirements
Serve as a resource and mentor to junior billing staff as needed
Qualification
Required
High school diploma or equivalent required; associate or bachelor's degree in healthcare administration, accounting, or related field preferred
3–5+ years of experience in medical billing or payment posting, with significant experience handling Medicaid, Medicare, and commercial plans
Advanced knowledge of EOBs, ERAs, payer payment methodologies, and contractual adjustments
Working knowledge of CPT, ICD-10, and common mental health billing codes and modifiers
Experience with EHR and practice management/billing systems
Excellent attention to detail and high level of accuracy
Strong analytical and problem-solving skills
Ability to manage complex, high-volume workloads with minimal supervision
Strong written and verbal communication skills
Preferred
Experience with secondary billing and coordination of benefits
Familiarity with telehealth reimbursement rules and modifiers across payers
Knowledge of state-specific Medicaid behavioral health billing requirements
Certification such as CPC, CBCS, CPB, or similar preferred
Proficiency in Microsoft Excel, including basic reporting and reconciliation functions
Company
Saafe Behavioral Services
Saafe Behavioral Services is a healthcare center that offers psychiatric care and counseling services.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Allen Knox
Chief Financial Officer Operations
Company data provided by crunchbase