Mental Health Billing Services for Therapists & Group Practices

You shouldn't have to wonder what's happening with your money.


We believe practice owners should be able to see what has been submitted, what has been paid, what still needs follow-up, and what we're doing about it. Our billing systems are built around clear tracking and communication—not handing over your revenue cycle and hoping for the best.

What We Handle

Our billing services are designed to support the day-to-day financial operations of your practice, including:

  • Claim submission, follow-up, and resolution

  • Insurance verification and eligibility checks

  • Payment posting and reconciliation

  • Denial management and appeals

  • Credentialing and payer enrollment

  • Ongoing reporting and financial transparency

Rather than simply submitting claims and waiting for payment, we follow them through the process, address problems when they arise, and help keep your revenue cycle moving.

Billing Built for Behavioral Health

Behavioral health billing has its own set of challenges. Between psychotherapy CPT codes, telehealth requirements, payer-specific rules, credentialing structures, and the realities of managing billing across multiple clinicians, a one-size-fits-all medical billing approach does not always work.

Heads Held High Billing works specifically with behavioral health providers. That focus allows us to understand the day-to-day needs of therapists, psychiatric providers, and group practices - and to build systems around the way behavioral health practices actually operate.

Whether you are billing for one clinician or managing claims across an entire team, we understand that your billing system needs to be accurate without becoming another full-time job for the practice owner.

Transparency Without the Guesswork

Handing your billing to someone else should not mean losing visibility into your own practice.

Many billing companies provide monthly reports that can be overwhelming, difficult to interpret, and already outdated by the time you receive them. Instead, our billing clients have access to a shared Google Sheet within our BAA-covered Google Workspace, giving you real-time visibility into claims, outstanding issues, and follow-up as it happens.

We believe practice owners should be able to understand what is happening with their claims, payments, and outstanding issues without having to chase their biller for answers. And when something goes wrong, we do more than simply tell you that a claim was denied. We help identify what happened, what can be done next, and, when appropriate, how similar problems can be prevented in the future.

Support That Can Grow With Your Practice

Billing needs can look very different depending on where you are in practice ownership.

You may be a solo practitioner who is ready to stop spending evenings submitting claims or looking to move away from a Venture Capitalist company. You may be hiring your first clinician and realizing that the systems that worked for one provider will not work for five. Or you may already run an established group practice and need more consistent billing oversight as your team grows.

We tailor our services to the needs of your practice rather than forcing every client into the same workflow. Our goal is to create reliable billing support that works for where your practice is today and can continue to support you as it changes.

"Setting up my own practice was a nightmare when I started out, navigating insurance companies and billing while also trying to build a caseload was overwhelming to the point of shut-down more times than one. When I wanted to take the next step in my private practice and tackle bigger things that I had been unable to do independently, Will was able to help me get my goals and next steps laid out. The process of working with Will to hit my goals was easier than I ever imagined, and allowed me to start taking control of my practice in a way that was previously impossible for me. Will is responsive, kind, and very easy to work with. I also appreciate how human the process has felt, and how much stress has been alleviated."

-Kristin Phelan - Nourished Peace Therapy

Frequently Asked Questions

  • Heads Held High Billing works with therapists, psychiatric providers, solo practitioners, and group practices. Our mental health billing services are designed specifically around the needs of behavioral health practices, including psychotherapy billing, telehealth claims, multi-clinician practices, and the payer requirements commonly encountered in behavioral health.

  • Our ongoing behavioral health billing services include claim submission and follow-up, insurance eligibility verification, payment posting and reconciliation, denial management and appeals, and ongoing claim tracking and reporting.

    Rather than simply submitting claims, we follow claims through the revenue cycle and address problems when they arise.

  • Yes. Transparency is an important part of how we approach medical billing for therapists and behavioral health practices.

    Our billing clients have access to a shared tracking system within our BAA-covered Google Workspace so you can see outstanding claims, billing issues, and follow-up without waiting for a monthly report or wondering what is happening behind the scenes.

  • Yes. We can work with practices that are currently handling medical billing internally as well as practices transitioning from another billing company or third-party platform.

    We will first review your current billing setup, payer relationships, systems, and any outstanding issues so we can determine what is needed for a smooth transition.

  • Yes. We provide medical billing support for both solo behavioral health providers and group practices.

    A solo therapist may need help getting billing off their plate, while a growing group practice may need systems capable of tracking claims and payments across multiple clinicians. Our billing support is designed to scale with the needs and volume of the practice.

  • Ongoing billing services are generally priced between 5% and 8% of insurance collections depending on average claim volume.

    You can view our current rates and other service options on our Pricing & Ways to Work With Us page.

Ready to Simplify Your Billing?

If you’re ready to spend less time tracking claims, troubleshooting denials, and wondering what is happening with your revenue, we’re here to help.

Reach out to talk through your current billing setup, what is working, what is not, and how Heads Held High Billing can support your practice.

Contact Us to schedule a free consultation.