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TYPE OF WORK
Full Time
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SALARY
$875.00 - 1240.00 per month
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HOURS PER WEEK
45
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DATE UPDATED
Sep 28, 2026
Position Summary
Grace Integrated is seeking an experienced and detail-oriented Mental Health Claims Specialist to join our administrative team. This position is responsible for supporting the accurate and timely processing of behavioral health insurance claims, resolving claim issues, and helping ensure appropriate reimbursement for services provided by our clinicians.
The ideal candidate has strong experience working with mental health insurance claims, understands the claims and reimbursement process, and is comfortable communicating directly with insurance companies, clinicians, and administrative staff.
Qualifications
Bachelor’s degree required
Additional certification or formal training related to medical billing, coding, insurance claims, or revenue cycle management required
Minimum of 2 years of professional experience working with medical or behavioral health insurance claims
Behavioral health or mental health billing experience strongly preferred
Must be fluent in spoken and written English
Strong understanding of insurance claims, denials, rejections, appeals, and reimbursement processes
Ability to navigate insurance payer portals and electronic health record/billing systems
Strong attention to detail and organizational skills
Ability to manage multiple claims and follow-up responsibilities simultaneously
Strong problem-solving and communication skills
Ability to work independently while collaborating effectively with the billing, scheduling, clinical, and management teams
Understanding of HIPAA and patient confidentiality requirements
Primary Responsibilities
Review and submit mental health insurance claims accurately and within required filing deadlines
Monitor submitted claims and follow claims through adjudication and payment
Identify and resolve rejected, denied, unpaid, and underpaid claims
Contact insurance companies to investigate claim status and reimbursement issues
Correct claim errors and submit corrected claims when necessary
Prepare and submit claim reconsiderations and appeals
Verify that appropriate CPT codes, modifiers, provider information, and insurance information are included on claims
Review Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) information
Identify recurring denial or reimbursement problems and communicate trends to management
Maintain accurate documentation of claim follow-up activities
Assist with aging accounts receivable and outstanding insurance balances
Work collaboratively with clinicians and administrative staff to obtain information needed for claim resolution
Maintain compliance with HIPAA, payer requirements, and Grace Integrated policies and procedures
Ideal Candidate
We are looking for someone who is experienced, organized, accountable, and persistent when resolving insurance claims. The successful candidate should be comfortable researching complicated claim issues, communicating with insurance representatives, and following unresolved claims through completion.
Experience specifically within a mental health or behavioral health practice is highly desirable.
