By role · Billing manager
You are working denials that intake created.
A third of what lands in your queue traces back to something that happened before the claim existed — an authorization nobody watched, a credential that lapsed, a member ID typed twice. You can appeal them all and the same ones arrive next month.
Reviewed with an RCM firm founder. Every billing screen was built against a real billing operation.
Your week
Six things that eat the time you don't have.
Unisona Health gives behavioral health billing managers claim scrubbing before submission, 835 remittances matched and posted in one pass, a denials queue with an owner and deadline on every item, and contracted rates compared against every payment. Because authorizations, credentials and eligibility sit on the same record, many denials are prevented at booking instead of appealed.
None of these are clinical problems. All of them are seams between systems that were never designed to know about each other.
A week a month spent moving 835 lines from a portal into a billing system, one claim at a time.
A clearinghouse rejection tells you a number, days later, and you reconstruct what went wrong.
Appeal windows close quietly. What nobody owned becomes a write-off with extra steps.
A claim paid at eighty percent of contract posts as paid unless something compares it to the contract.
Unsigned notes hold claims, and finding them means asking clinical.
Authorization, credentialing and eligibility failures all land in billing regardless of where they originated.
What changes
Each one, and where it lives.
- Remittance posting
835 imported, matched line by line, payments and adjustments posted in one pass.
- Remittance posting
- Rejections
Scrubbing before submission that highlights the failing field and the reason, in plain language.
- Claim scrubbing
- Denials
A worklist with reason, dollars at risk, appeal deadline and a named owner on every item.
- Denials queue
- Underpayments
Contracted rates loaded per payer, so every remittance is compared to what it should have paid.
- Contracts & rates
- Authorization gaps
Units and expiry visible at booking, so the gap never becomes your problem.
- Prior authorizations
- Patient balances
Calculated from the remittance, collected by link, with plans that run themselves.
- Patient balances
Questions you can finally answer
Four you are probably asked, and cannot answer today.
Claims carry an expected amount and a scrub result, so first-pass rate is a number rather than a feeling.
Claim scrubbingDenials grouped by reason and dollars, which tells you whether the fix is in billing or upstream.
Denials queueEvery remittance line compared against the loaded fee schedule, with variances surfaced.
Contracts & ratesUnsigned encounters are visible with the claim attached, so releases stop being a phone call.
Documentation clockCase study
What this looks like in a real program.
Other roles
The same program, seen from the rest of the team.
By role
Owner / executive
Occupancy is in one head, denials in another, payroll in a system nobody logs into. Every question costs someone half a day, and the answer arrives stale.
See the week from this role →By role
Clinical director
Notes are late, some nearly identical, plan reviews are due, and two clinicians are carrying too much. None of it shows until it becomes a finding or a denial.
See the week from this role →By role
Compliance officer
Access records, consent documentation, training completion, credential files, incident logs — all producible on demand, from systems you do not control.
See the week from this role →By role
Practice manager
Every gap between the scheduling tool, the EHR, the billing service and payroll is filled by someone retyping. Invisible, unbillable, most of the week.
See the week from this role →By role
Intake director
Someone in crisis calls several places. Whether they end up with you comes down to how fast you respond and whether you can say yes to a bed tonight.
See the week from this role →What you stop working around
The tools and moves this role usually owns.
Replaces
Your clearinghouse portal
Claim.MD is included in Unisona Health, so claims, remittances and eligibility run inside the EHR. No more checking status or keying 835s in a portal.
See what changes →Switching
Clearinghouse included
Claims go out, remittances come back, and eligibility runs through Claim.MD — connectivity already built in, priced in, and enrolled on your behalf.
See what changes →Questions
Common questions.
What is the best EHR for a behavioral health billing manager?
One where billing sees problems before the claim exists. Unisona Health shows authorization units and expiry at booking, scrubs claims before submission with the failing field explained in plain language, posts 835s line by line, and routes every denial to a queue with the reason, dollars at risk, deadline and owner, so the same denials stop arriving next month.
Can an EHR post ERA / 835 remittances automatically?
Yes. The 835 imports, each line is matched to the original claim on claim number, patient, date of service and amount, and payments and contractual adjustments post in one pass with patient responsibility calculated. Only exceptions reach a person: denials and partial payments route to the denials queue with the reason attached. Scanned paper EOBs use the same matching.
How do we catch payer underpayments?
Load contracted rates per payer and per code, and every remittance line is compared against them. A claim paid at eighty percent of contract shows as a variance with a running monthly total instead of posting quietly as paid, which also gives you evidence for the next rate conversation with that payer.
Does Unisona Health handle per-diem and case-rate billing?
Yes. Fee-for-service, per-diem and case-rate structures are all supported, including UB-04 for facility billing. PHP and IOP days bill as a bundled rate with attendance driving billability, and residential and detox bill per day or per episode against the authorized length of stay.
Are billing staff seats priced differently from clinician seats?
Yes. Billing staff seats are $60 a month, against $70–90 for clinical seats. They cover billers and RCM staff working claims, remittances, denials and patient balances, and they count toward your Group Practice seat band while being billed at their own rate.
Where to look next
The pages that carry most of this role's week.
Revenue cycle
Claim scrubbing
Validation runs before the claim leaves, highlights the exact field that will get it kicked back, and says why in plain language — not a rejection code you have to look up.
Read more →Revenue cycle
Remittance & bulk posting
Read the ERA, match the lines to the claims, post the payments and adjustments, and route what didn't match to the denials queue.
Read more →Revenue cycle
Denials work queue
Every denial and underpayment lands in a queue with the reason, the dollar amount, the deadline, and the person responsible.
Read more →Revenue cycle
Payer contracts & rates
Contracted rates stored per payer and per service, so the expected payment is on the claim before it goes out and underpayments are visible the moment the remittance posts.
Read more →Get started
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