Medical billing- tebra/kareo experience is a much
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Typical Responsibilities
Verify patient insurance eligibility and behavioral health benefits.
Obtain prior authorizations when required.
Submit electronic claims (CMS-1500).
Post insurance and patient payments.
Correct and resubmit denied claims.
Appeal claim denials.
Verify copays, deductibles, and coinsurance.
Follow up on unpaid claims.
Reconcile accounts receivable (A/R).
Ensure documentation supports billed CPT and ICD-10 codes.
Monitor payer policy changes.
Common Mental Health CPT Codes
Psychiatry
90791 – Psychiatric diagnostic evaluation
90792 – Psychiatric diagnostic evaluation with medical services
99202–99215 – Office/outpatient E/M visits
90833 – Psychotherapy, 30 minutes with E/M (16–37 minutes)
90836 – Psychotherapy, 45 minutes with E/M (38–52 minutes)
90838 – Psychotherapy, 60 minutes with E/M (53+ minutes)
Psychotherapy
90832 – 30 minutes
90834 – 45 minutes
90837 – 60 minutes
Other
90846/90847 – Family psychotherapy
90853 – Group psychotherapy
ICD-10 Codes Frequently Used
F90.2 – ADHD
F41.1 – Generalized anxiety disorder
F33.1 – Major depressive disorder, recurrent, moderate
F31.9 – Bipolar disorder
F42.9 – Obsessive-compulsive disorder
F43.23 – Adjustment disorder with mixed anxiety and depressed mood
F84.0 – Autism spectrum disorder
Behavioral Health Billing Knowledge
A qualified mental health biller should understand:
Telehealth billing requirements (including appropriate modifiers and place of service).
Documentation requirements for E/M and psychotherapy.
Time-based psychotherapy coding.
Add-on code 90833 with E/M services.
Medicare, Medicaid, and commercial payer policies.
Coordination of benefits.
Prior authorization requirements for behavioral health services.
Skills to Look For
Experience with psychiatric or behavioral health practices.
Knowledge of ICD-10, CPT, and HCPCS coding.
Familiarity with EHR/PM systems such as AdvancedMD, Kareo/Tebra, Athenahealth, SimplePractice, or Valant.
Strong denial management and appeals experience.
Understanding of HIPAA and payer compliance.
Certifications (Preferred)
Certified Professional Biller (CPB) – AAPC
Certified Coding Specialist (CCS) – AHIMA
Certified Professional Coder (CPC) – AAPC
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