Mental Health Billing

Insurance Verification & Authorization

• Verifying client insurance eligibility and benefits

• Checking coverage for specific services (e.g., telehealth, psychotherapy, group therapy)

• Obtaining prior authorizations when required

• Confirming co-pays, deductibles, and coinsurance

Claim Submission & Management

• Entering CPT codes, modifiers, and diagnostic codes (ICD-10)

• Creating and submitting claims to insurance payers

• Correcting claim errors or rejections for resubmission

• Following up on unpaid or underpaid claims

• Managing secondary insurance billing

Payment Posting & Reconciliation

• Posting insurance and client payments into the EHR or billing system

• Reconciling Explanation of Benefits (EOBs) and electronic remits (ERAs)

• Identifying and correcting overpayments or discrepancies

• Generating financial reports (aging, payments, write-offs)

Client Billing & Communication

• Generating client invoices or superbills (for out-of-network clients)

• Handling billing-related client questions

• Managing payment plans, sliding scales, or collections if necessary

• Coordinating with clients regarding deductibles or balance due

Compliance & Documentation

• Ensuring HIPAA-compliant handling of all billing data

• Staying up to date with payer rules, billing codes, and state regulations

• Maintaining proper documentation for audits or reviews

Reporting:

• Monthly revenue reporting

• Denial analysis and consultation