Camy Mapes

Behavioral health billing and practice operations professional with experience in claims, coding review, denials, A/R, payment posting, insurance verification, authorizations, credentialing, CAQH, and payer enrollment.

Lead Practice Coordinator at LifeStance Health (2024-09 – 2026-06)

• Reviewed high patient balances to determine whether charges were actually patient responsibility or tied to an insurance or claim issue.
• Used AdvancedMD to review account history, EOB/ERA details, insurance information, eligibility, and patient balances.
• Checked deductible, copay, coinsurance, eligibility, and carve-out information and sent questions to billing or insurance verification when more research was needed.
• Took over difficult patient-account issues from Practice Coordinators, including unapplied payments, duplicate charts, insurance problems, and portal issues.
• Handled VA authorizations by fax, tracked approvals, and contacted the VA when something was delayed or unclear.
• Flagged coding or claim problems when I found them and worked with centralized billing staff when corrections were needed.
• Trained Practice Coordinators and created guides and checklists for insurance, patient accounts, scheduling, and office workflows.

Practice Coordinator at LifeStance Health (2023-12 – 2024-09)

Office Manager at Inward Bound Health Solutions (2022-11 – 2023-12)

Handled billing and insurance for the practice, including claims, A/R follow-up, denials, payment posting, benefit verification, authorizations, and payer follow-up.

• Checked provider encounter notes before billing to make sure CPT, ICD-10, HCPCS, modifier, place-of-service, insurance, and authorization information were correct. Fixed errors before claims were submitted.
• Submitted about 200 claims each week through TheraNest, Change Healthcare, Office Ally, payer portals, and CMS-1500 forms when needed.
• Ran A/R aging reports every week and followed up on claims that had been pending or unpaid longer than expected.
• When a claim rejected or denied, checked the denial code, eligibility, authorization status, claim details, and clearinghouse activity to figure out what caused it.
• Called insurance companies and used payer portals to check claim status, ask questions, and work through reimbursement issues.
• Corrected claim and insurance errors and resubmitted claims while keeping timely-filing limits in mind.
• Used Availity, payer portals, and EHR systems to verify eligibility and benefits, including deductibles, copays, coinsurance, Medicaid coverage, and carve-out plans.
• Reviewed EOBs and ERAs, posted payments and adjustments when they did not come through electronically, and checked that reimbursement matched what was actually received.
• Handled Medicaid and EAP authorizations, including new requests, renewals, and requests for additional visits.
• Completed provider credentialing and recredentialing for commercial insurance, Medicaid, TRICARE, and EAP networks.
• Maintained CAQH profiles, payer enrollment records, demographic changes, practice-location updates, roster information, and EFT/ERA enrollment.
• Followed up with payers on pending credentialing and enrollment issues and kept provider information current.
• Noticed repeat billing, documentation, and authorization problems and changed internal workflows when possible to keep the same errors from happening again.
• Prepared records for ODMHSAS/state audits and updated Policies & Procedures and the Personnel Handbook when compliance or workflow changes were needed.

Executive Assistant to Financial Director at Mercer Valve Co., Inc. (2021-12 – 2022-11)

• Worked directly with the Financial Director on reporting, scheduling, meeting coordination, and day-to-day department support using Microsoft 365.
• Took on AP and AR work during a staffing change so those tasks did not fall behind.

Administrative Director | Practice Operations at Seasons of Change Behavioral Health Solutions (2016-08 – 2020-01)

• Verified insurance eligibility and benefits and worked directly with Medicaid/SoonerCare requirements for a behavioral health practice.
• Managed SoonerCare prior authorizations through PICIS and assisted with denied Medicaid claims and payer follow-up.
• Helped enroll providers and maintain payer information before an outside credentialing contractor took over much of that work.
• Built a tracking system for authorization expirations, treatment-plan deadlines, provider records, and other state-compliance requirements.
• Maintained provider documentation and helped track licenses, payer information, enrollment changes, and other time-sensitive requirements.
• Supported NCQA accreditation, ODMHSAS certification, and Oklahoma state inspection preparation.
• Coordinated provider and payer updates when the practice moved locations.
• Reviewed patient charts and followed up with therapists when documentation, authorizations, outreach, or discharge work was coming due.

High School Diploma