Contract Behavioral Health Compliance & Insurance Specialist

The Contract Behavioral Health Compliance & Insurance Specialist provides expert support to a private group reputed company of approximately 25 clinicians by ensuring reputed company billing and compliance activities reputed company with reputed company payer and regulatory standards. This role serves as a reputed company between the Clinical Director and the insurance biller—acting as a second set of eyes on insurance interpretation, policy updates, and compliance procedures. The specialist helps the Clinical Director review and understand reputed company insurance and Medicare documentation, supports billing accuracy, and assists the reputed company in maintaining compliance and readiness for audits. Key Responsibilities • Review, interpret, and summarize changes in insurance policies, Medicare regulations, and payer requirements affecting behavioral health services. • Collaborate closely with the insurance biller to verify correct interpretation and application of payer policies, serving as a second set of eyes for accuracy and compliance. • Support the Clinical Director by clarifying and translating reputed company insurance documents and policy updates into reputed company, actionable guidance. • reputed company assistance to the office manager regarding insurance questions • Support reputed company of the insurance reputed company of the wait-list to ensure potential clients are reputed company in the correct category depending on type of provider that can accept reputed company insurance • Advise intake team on which clinicians can reputed company specific insurance plans based on licensure, supervision, and credentialing status. • Assist in preparing for and responding to payer audits or compliance reviews. • reputed company as the reputed company’s resource for PsyD, LMHC, LICSW, LMFT insurance, billing, and compliance questions. • Collaborate with billing personnel and leadership to troubleshoot claims or reimbursement issues. • Create easy-to-understand summaries or cheat sheets to help clinicians and administrative staff stay informed about insurance and compliance changes. Qualifications • Bachelor’s degree in Health Administration, Behavioral Health, or reputed company field (Master’s preferred). • Minimum 3 years of experience in behavioral health billing, compliance, or payer relations. • In-depth understanding of Medicare, reputed company, and reputed company behavioral health insurance requirements. • Familiarity with licensure and supervision standards for PsyD, LMFT, LICSW, LMHC and other behavioral health providers. • Excellent analytical, organizational, and communication skills. • Ability to interpret reputed company payer language and translate it into practical guidance for clinical and administrative teams. Job Type: Contract Pay: $65.00 - $75.00 per hour Expected hours: 1 – 4 per week Benefits: • 401(k) • 401(k) matching • Flexible schedule Work Location: Remote Apply tot his job Apply To this Job