Virtual Assistant - Medical Billing/Credentialing

**Virtual Assistant (VA) – Medical Billing / Credentialing (Psychiatry)** **Company:** **Lighthouse Psychiatry \| Arizona** **Location:** Remote (US, Philippines, Vietnam, India, Mexico) **Job Type:** Full\-time / Part\-time (Night Shift / U.S. Business Hours) **Industry:** Healthcare / Medical Billing / Behavioral Health**Hire Model:** Direct hire (Contract)**Pay:** Based on level of experience (opportunity for growth) **Position Summary:** Lighthouse Psychiatry is seeking a highly organized Medical Billing \& Credentialing Specialist responsible for managing the revenue cycle from patient eligibility through claim resolution while ensuring providers remain properly credentialed with commercial and government payers. This role is essential to maximizing reimbursement, maintaining payer compliance, and supporting the growth of our outpatient psychiatry, TMS, Spravato, IV ketamine, and psychotherapy programs. The ideal candidate has experience with psychiatric billing, athenaOne, insurance credentialing, and payer relations, with the ability to work independently while maintaining exceptional attention to detail.### **Primary Medical Billing \& Revenue Cycle Responsibilities** #### **Patient Registration \& Front\-End Revenue Cycle** * Verify insurance eligibility and benefits * Update insurance information and demographics * Review appointment schedules for insurance issues * Identify authorization requirements * Resolve registration and eligibility errors * Manage insurance verification work queues #### **Charge Capture** * Review encounters for billing completeness * Enter charges accurately * Validate CPT and ICD\-10 coding consistency * Identify missing documentation * Process no\-show billing when applicable * Upload supporting documentation #### **Claims Management** * Submit electronic claims * Correct claim edits * Monitor claim acceptance * Review claim history * Submit corrected claims * Process secondary claims * Coordinate benefits (COB) * Monitor telehealth claims #### **Accounts Receivable** * Follow up on unpaid claims * Investigate denied claims * Resolve payer edits * Prepare appeals * Monitor aging reports * Review payment variances * Research patient accounts * Process insurance corrections * Manage collection worklists #### **Payment Posting** * Post insurance payments * Post patient payments * Process credit card transactions * Interpret EOBs and ERAs * Resolve payment discrepancies * Review credit balances #### **Specialty Psychiatry Billing** Independently manage billing for:* Medication Management * Psychiatric Evaluations (90791/90792\) * Psychotherapy * Add\-on psychotherapy codes * Telepsychiatry * TMS * Spravato * IV Ketamine * Urine Drug Screening * Prior Authorizations ### **Credentialing Responsibilities (if applicable)** Manage the credentialing lifecycle for psychiatrists, psychiatric nurse practitioners, psychologists, therapists, and other clinical staff. Responsibilities include:*