Out-of-Network Insurance Billing Specialist

@ Persona

About Persona

Persona is the talent agency top startups rely on to hire global professionals. Founded by Stanford graduates and backed by top investors, Persona partners with innovative technology companies. Join a global team dedicated to training, mentoring, and career growth.

About the Role

The Out-of-Network Insurance Billing Specialist will manage insurance claims, verify benefits, and ensure accurate billing processes. This full-time, remote role supports day-to-day operations and overall practice efficiency through hands-on practice management and client communication.

Responsibilities

• Conduct insurance benefits lookups and provide summaries to clients and clinicians.
• Submit out-of-network claims using Simple Practice.
• Allocate session payments and update client records.
• Communicate with therapy associates and clients on billing inquiries.
• Perform quality checks for successful claims processing.
• Troubleshoot and track issues such as incorrect payments and recoups.
• Maintain up-to-date intake documents and support practice operations.

Requirements

• Minimum 3 years experience in mental health insurance billing, with out-of-network expertise.
• Proficiency with Simple Practice or similar EHR platforms.
• Strong understanding of CPT codes, modifiers, ICD-10, and reimbursement guidelines.
• Experience in practice management and HIPAA compliance.
• Excellent written and verbal communication skills.
• Detail-oriented, organized, with strong problem-solving abilities.

What We Offer

• Best salaries in the industry.
• Permanent ability to work from anywhere in the world.
• Opportunities for growth and advancement.
• A fast-paced, collaborative, and friendly environment.
• Comprehensive benefits including health insurance, PTO, bonuses, and tech allowance.

Key Skills/Competency

Out-of-Network, Billing, Insurance, Mental Health, Simple Practice, Claims, CPT, ICD-10, HIPAA, Remote