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Title: CPT-11730 Full-Cycle Psychiatric Medical Billing & Revenue Cycle Specialist

Independent Contractor – CPT-11730 Full-Cycle Psychiatric Medical Billing & Revenue Cycle Specialist /Business Support VA/Junior-Advanced Level (Remote).

Overview

20four7VA is seeking offshore independent contractors to deliver remote services to clients worldwide, with a primary focus on developed markets such as the United States, the United Kingdom, Canada, and Australia.

A Texas-based mental health practice is seeking an experienced Psychiatric Medical Billing & Revenue Cycle Specialist to support its internal billing operations, including claims management, patient balances, collections, insurance follow-up, and revenue cycle reporting.

The practice needs someone with recent hands-on psychiatric or behavioral health billing experience, strong eClinicalWorks (eCW) proficiency, and the ability to communicate professionally with patients and insurance representatives.

The ideal candidate will have practical knowledge of the full revenue cycle and be comfortable working independently while coordinating with the practice's existing administrative staff and external billing partners.

The objective of each engagement is to assist the client in improving business efficiency, enhancing service delivery, or supporting operational functions through high-quality, task-specific services rendered by a qualified contractor.

Scope of Services

Contractors will be required to provide services that align with the following client tasks:

Medical Billing & Revenue Cycle Management

• Assist with full-cycle psychiatric and behavioral health billing activities
• Review claims, patient balances, billing records, and outstanding account issues
• Investigate rejected, denied, or underpaid claims and support corrections or appeals
• Maintain accurate payment posting, accounts receivable, and collection records
• Review billing information for accuracy and identify issues requiring resolution
• Apply relevant ICD-10, CPT, payer, and psychiatric billing requirements

eClinicalWorks & Billing Administration

• Navigate patient accounts, claim records, balances, and account inquiry functions in eCW
• Generate patient statements and access billing reports
• Review insurance and patient account information using established practice procedures
• Document billing actions, outstanding issues, and account updates accurately
• Follow internal processes for claim corrections, adjustments, and billing follow-up

Patient & Insurance Communication

• Answer patient billing inquiries and communicate with insurance representatives
• Explain account balances, statements, copayments, deductibles, and routine billing questions
• Follow up on outstanding balances and approved payment arrangements
• Verify patient identity before discussing protected health information
• Handle frustrated or distressed patients with patience, active listening, and professional phone etiquette
• Escalate complex or disputed billing matters when appropriate

Reporting & Internal Coordination

• Prepare and review accounts receivable, claim, payment, and billing performance reports
• Extract and organize billing information using Excel and other approved reporting tools
• Identify discrepancies and outstanding balances requiring attention
• Coordinate with the practice manager, administrative staff, and external billing providers
• Participate in relevant billing meetings and follow up on assigned action items
• Apply training updates accurately and document changes to established processes

Each engagement is based on a defined scope of work and is governed by an independent contractor agreement. Services must be performed professionally, with adherence to any timelines, guidelines, and deliverables agreed upon in writing.

Skills

The Contractor must demonstrate proficiency in the following, depending on the Client’s requirements:

• 2–3+ years of hands-on medical billing and full-cycle revenue cycle experience required
• Psychiatric or mental health billing experience required; recent experience strongly preferred
• Hands-on eClinicalWorks billing experience required
• Experience handling both patient and insurance-related billing matters required
• Medicare Part B billing experience required
• Strong knowledge of psychiatric CPT and ICD-10 codes required
• HIPAA knowledge and documented training or certification required
• Excel-based revenue cycle reporting experience required
• Excellent spoken and written English with strong patient communication skills required
• Experience with payment posting, denials, AR follow-up, and collections required
• Strong technical reliability, attention to detail, and ability to work a dedicated full-time schedule required

IDEAL CANDIDATE PROFILE

• Experienced, accurate, and confident managing medical billing workflows
• Comfortable with psychiatric billing terminology and revenue cycle processes
• Highly proficient with eClinicalWorks billing functions
• Strong communicator who remains calm under pressure
• Detail-oriented and organized when managing patient financial information
• Able to learn quickly, retain instructions, and demonstrate understanding
• Dependable with deadlines, attendance, and professional communication

APPLICATION SOFTWARE KNOWLEDGEABLE / REQUIRED

• eClinicalWorks (eCW) – Required
• Microsoft Excel – Required
• Electronic Claims / Payer Portals
• Medical Billing & Revenue Cycle Reporting Tools
• Email & Business Communication Platforms
• Microsoft Office / Google Workspace

Work Schedule

• Contracted Hours per Week: 40 Hours
• Scheduled Working Days: Monday through Friday (unless otherwise mutually agreed in writing)
• Daily Working Time: 7:00 AM–4:00 PM Central Time

Note: The Company will make reasonable efforts to align the Assigned VA’s schedule with the Client’s preferred hours as set forth above. However, availability may vary based on time zones, capacity, and the contracted hours set in this SOW. Any changes must be mutually agreed to in writing through a revised SOW.

Terms of Engagement

• Contractors will operate under a Master Services Agreement and a Statement of Work
• This is not an offer of employment; contractors are not employees of 20four7VA or any client
• All compensation is processed through 20four7VA according to the terms of the engagement

Role Summary & Requirements

• REQUIRED SERVICE: Business Support
• REQUESTED EXPERIENCE TIER LEVEL: Senior and Advanced Level
• Contracted Hours per Week: 40 hours/week
• Daily Working Time: 7:00 AM–4:00 PM Central Time
• Scheduled Working Days: Monday-Friday
• REPORTING TO/POC: To Be Determined
• Number of VAs: 1
• GENDER PREFERENCE: None
• LANGUAGES SPOKEN/PREFERENCE: English
• ACCENT PREFERENCE: Level A-B (Native or near-native English accent required)
• REGION PREFERENCES: Any

What we offer

• Competitive rates
• Weekly payments
• Various open roles are available
• Free training and upskilling
• Constant support and guidance
• A vibrant community always ready to support you
• And more!