Payment Posting Team Lead

Non-clinical United States United States


Talkiatry transforms psychiatry with accessible, human, and responsible care. We’re a national mental health practice co-founded by a patient and a triple-board-certified psychiatrist to solve the problems both groups face in accessing and providing the highest quality treatment.   

60% of adults in the U.S. with a diagnosable mental illness go untreated every year because care is inaccessible, while 45% of clinicians are out of network with insurers because reimbursement rates are low, and paperwork is unduly burdensome.   With innovative technology and a human-centered philosophy, we provide patients with the care they need—and allow psychiatrists to focus on why they got into medicine. 

About the role: 

The Payment Posting Team Lead is essential to Talkiatry’s continued financial and operational success.

This role will play an integral part of the revenue cycle team and will support our rapid growth and care delivery model. The Payment Posting Team Lead will follow the established job performance standards for the position and must have fundamental knowledge of billing, payment posting, collection, and insurance reimbursement procedures and methodologies.

The Payment Posting Team Lead is part of the team responsible for an optimal insurance claims adjudication as it relates to unpaid claim follow up, claim status checking, denial appeals and its workflows.  This team is also responsible for the review and resolution of identified underpayments, processing of write offs, review of all hold accounts prior to sending them to collections, maintenance of payor policies and updates, as well as other assignments.

You will: 

  • Support the Collections Manager and lead the payment Posting team, comprised of 2 on-shore and 5 offshore staff
  • Utilize our practice management system and EHR, eClinical Works, to manage the full cycle of payment posting activities
  • Use your fundamental knowledge of third-party insurance, timely filing, coordination of benefits, authorizations, referrals, copayments (in and out of network), deductibles, and coverage limitations and maximums to support the revenue cycle
  • Reconcile payments posted on a weekly basis and ensure accuracy of work completed by the offshore team
  • Submit claims, after verifying the accuracy of the information provided and the existence of the necessary documentation to support charges
  • Work closely with Patient Care Coordinators and Medical Coders on issues adversely affecting billing
  • Assist and support auditing and compliance processes by ensuring billing and documentation meet standards with respect to billing practices
  • Be responsible for Denial management, supporting the manager in root cause analysis and working cross functionally to support denial prevention
  • Review of all write-offs for accuracy
  • Identify accounts reaching timely filing and work them expeditiously to prevent final denial
  • Work collaboratively with billing, coding, PCCs, and other Talkiatry staff to lower aged receivables while increasing collections
  • Review Explanation of Benefits and take the appropriate course of action (resubmit, transfer, or write off charges)

Your Qualifications:

  • A minimum of 2 years of experience within payment posting and/or medical billing
  • Strong numeracy skills; Experience working within Excel, competency with Pivot Tables and VLookup preferred
  • Experience working within an EHR

Why Talkiatry: 

  • Top-notch team: we're a diverse, experienced group motivated to make a difference in mental health care 
  • Collaborative environment: be part of building something from the ground up at a fast-paced startup  
  • Flexible location: work where you want to, either remotely across the U.S. or from our HQ in NYC  
  • Excellent benefits: medical, dental, vision, effective day 1 of employment, 401K with match, generous PTO plus paid holidays, paid parental leave, and more!
  • Grow your career with us: hone your skills and build new ones with our Learning team as Talkiatry expands  
  • It all comes back to care: we’re a mental health company, and we put our team’s well-being first 
  • Compensation range for this position is $50K-60K depending on experience; actual compensation will be dependent upon the specific role, location, as well as the individual’s qualifications, experience, skills and certifications.


At Talkiatry, we are an equal opportunity employer committed to a diverse, inclusive, and equitable workplace and candidate experience. We strive to create an environment where everyone has a sense of belonging and purpose, and where we learn from the unique experiences of those around us.

We encourage all qualified candidates to apply regardless of race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other legally protected status.