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Psychology Billing Support

Psychology Billing Support From Trained Offshore RCM Staff

Psychology billing sits at the intersection of therapy codes payers scrutinize, testing codes with their own unit math, and carve-out payers that reroute claims entirely. RCM Staff builds you dedicated offshore capacity that verifies benefits, works the claims, and follows up on every payer inside your existing systems.

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HIPAA-aware onboarding and a signed BAA before any access to patient information begins.
Who It Is For

Built for Psychology Practices and the Teams That Bill for Them

Whether you run a solo therapy practice, a testing-heavy group, or a billing company with psychology clients, the work is recurring, payer-specific, and easy to fall behind on. We staff the people who keep it moving.

Solo psychologists
Independent clinicians who need insurance billing handled without hiring locally.
Group psychology practices
Multi-clinician groups with psychologists, postdocs, and associates on shared claim workflows.
Testing and assessment practices
Practices billing psychological and neuropsychological testing with time-based unit rules.
Telehealth therapy practices
Virtual-first practices billing across states, payer telehealth policies, and modifiers.
Hybrid private-pay practices
Practices balancing insurance claims, superbills, and out-of-network patient billing.
Billing companies serving psychology
Billing vendors that need trained capacity for therapy and testing claim volume.
Scope of Support

Psychology Billing Workflows We Support

From front-end eligibility through AR cleanup, our associates handle day-to-day execution around your clinicians. For code-level detail on intakes, psychotherapy codes, and testing units, see the psychology billing guide.

Eligibility and behavioral health benefits
Visit limit and carve-out checks
Testing authorization support
Charge entry for therapy and testing codes
Telehealth claim support
Superbill and patient billing support
AR follow-up
Denial follow-up and appeals support
Payment posting
Records request support
Payer portal follow-up
Billing inbox and admin tasks

Code selection, session length, test selection, and medical necessity stay with your clinical team. Our associates execute the billing and admin work around those decisions.

Where It Breaks Down

Common Psychology Billing Pain Points

These are the recurring failure points we help psychology practices and billing teams stay ahead of. Most of them are capacity problems before they are knowledge problems.

90837 payer scrutiny
60-minute psychotherapy flagged for review, records requests, or downcoding pressure when session time documentation is thin.
Intake billing rules
90791 diagnostic evaluations denied for frequency limits or billed when the payer expected a psychotherapy code.
Testing code unit rules
96130-96139 claims where evaluation, administration, and technician time each follow their own first-hour and add-on unit logic.
Testing authorizations
Neuropsych and psych testing batteries delivered before the payer approved the hours, or beyond what was approved.
Behavioral health carve-outs
Claims sent to the medical plan when the payer has delegated behavioral health to a separate MBHO with its own claims address and rules.
Telehealth billing shifts
Place of service and modifier requirements that differ by payer and change year to year.
Visit limits and medical necessity
Session caps and medical necessity reviews that turn continued care into denials when documentation and tracking lag.
Insurance and private-pay mix
Superbills, out-of-network claims, and patient balances running alongside in-network billing with no one owning the whole picture.
Aging AR queues
Follow-up queues sitting past 30, 60, or 90 days because clinicians are booked and admin hours are scarce.
Roles Available

Roles You Can Staff for Psychology Billing

Build a single role or a small pod. Each links to how that role works.

Psychology Medical Biller
Charge entry, claim submission, and billing workqueue support inside your EHR and clearinghouse.
Explore this role →
AR Specialist
Follow-up on aging therapy and testing claims to keep insurance balances moving.
Explore this role →
Eligibility & Benefits Specialist
Coverage, behavioral health benefits, carve-out routing, and visit-limit checks before appointments.
Explore this role →
Prior Authorization Specialist
Authorization submission and tracking for testing batteries and payer-managed therapy benefits.
Explore this role →
Denial Management Support
Denial documentation, appeals support, and tracking of 90837 and testing denial patterns by payer.
Explore this role →
Payment Posting Specialist
ERA and EOB posting and reconciliation across insurance and patient payments.
Explore this role →
Medical Virtual Assistant
Scheduling, intake, superbill prep, and billing inbox support around your clinicians.
Explore this role →
Medical Coder
Industry-certified coding support for psychotherapy, evaluation, and testing code selection review.
Explore this role →
EHR and Workflow Familiarity

We Work in the Systems Psychology Practices Already Use

Our associates have workflow familiarity with the platforms and portals common in psychology and behavioral health billing. We do not claim universal expertise in every system. We onboard each associate around the specific tools, access, and SOPs your practice uses.

SimplePracticeTherapyNotesTheraNest (Therapy Brands)IntakeQ / PracticeQOffice AllyAvailityPayer portalsClearinghouse workflows

Working across multiple systems? See our EHR billing support and TherapyNotes billing support pages. RCM Staff is an independent staffing vendor and is not affiliated with any EHR company.

Why RCM Staff

Managed Healthcare Staffing, Not Generic VA Outsourcing

Psychology billing rewards people who understand the work. That is who we recruit, train, and support.

Psychology workflow fluency
Associates trained on how therapy sessions, testing batteries, and carve-out payers actually move through billing.
Healthcare-specific staffing
We staff for RCM and medical admin work, not generic virtual assistant tasks.
Philippines-based talent
A skilled, English-proficient talent pool with prior U.S. healthcare experience.
Founder-led RCM background
Built by operators who have run medical billing, not a generic outsourcing broker.
Not random freelancers
Dedicated associates you interview and approve, supported by our team.
Dependable capacity
Coverage that holds as your caseload grows, without adding local headcount.

Every engagement includes a signed BAA and structured HIPAA onboarding before access begins. See our HIPAA and compliance posture →

FAQ

Psychology billing support, answered.

Can RCM Staff support psychology billing workflows?

Yes. We provide trained offshore staff who support psychology billing and admin workflows, including eligibility and benefits verification, testing authorization support, charge entry for psychotherapy and testing codes, claim submission, AR follow-up, denial follow-up, payment posting, and payer portal work. Our associates work inside your existing EHR, clearinghouse, and payer portals rather than replacing them.

Do you provide dedicated billers for psychology practices?

Yes. We can staff dedicated billers who support solo psychologists, group practices, and testing practices. You interview and approve the associate, and they work as a dedicated member of your team following your SOPs, code selections, and task queues.

Can your staff handle psychological and neuropsychological testing billing?

Yes. Our associates support the billing side of testing workflows: verifying testing benefits, submitting and tracking authorizations for approved hours, entering charges for the 96130-96139 code family with the correct first-hour and add-on unit structure, and following up on denials. Test selection, interpretation, and report writing remain entirely with your psychologists.

How do you handle payers that scrutinize 90837?

Our associates track which of your payers flag 60-minute psychotherapy, respond to records requests with the documentation your clinicians provide, and log denial and downcoding patterns by payer so your practice can decide how to respond. Session length and code selection are always your clinicians' decisions; we handle the administrative follow-through.

Can you work with behavioral health carve-outs and MBHOs?

Yes. Verifying which entity actually holds the behavioral health benefit is a standard part of our eligibility workflow. Associates confirm carve-out routing before the visit, submit claims to the correct payer, and follow up through the MBHO's portal or phone line when claims stall.

Can you support a practice that mixes insurance and private pay?

Yes. Many psychology practices run in-network claims, out-of-network superbills, and private-pay balances side by side. Our associates can prepare superbills, post patient payments, reconcile ERAs and EOBs against patient responsibility, and keep the patient billing inbox worked, all following the financial policies you set.

Do you work with SimplePractice, TherapyNotes, or TheraNest?

Our associates have workflow familiarity with common psychology and behavioral health platforms, along with clearinghouses and payer portals. We onboard each associate around the specific systems, access, and workflows your practice uses. We are an independent staffing vendor and are not affiliated with any EHR company.

How do we get started?

Book a strategy call or request a staffing plan. We review your caseload, payer mix, systems, and the role you need, then source and shortlist healthcare-trained candidates for you to interview and approve before they onboard.

Explore Further

Explore related psychology billing resources.

Psychology Billing Guide

Psychotherapy codes, 90791 intakes, testing codes 96130-96139, telehealth billing, carve-outs, and denial prevention.

Read the psychology guide →

Behavioral Health Billing Support

Broader billing and admin support across therapy, counseling, mental health, and SUD practices.

See behavioral health support →

Psychiatry Billing Support

Dedicated staffing for psychiatry practices billing E/M, medication management, telepsychiatry, and interventional programs.

See psychiatry support →

Behavioral Health Billing Health Check

A short self-assessment that flags where your psychology or behavioral health billing may be leaking revenue or time.

Run the health check →

All Specialty Billing Support

See how RCM Staff supports billing and admin workflows across clinical specialties.

Browse specialties →
Next Step

Build Your Psychology Billing Support Team

Tell us about your caseload, payer mix, systems, and staffing gap. We will help you scope the right roles and match healthcare-trained associates you interview and approve.

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Next Step

Ready to Build Your Billing Team?

Tell us about your payer mix, systems, and staffing gap. We'll respond within one business day.

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