Success in this position means that services provided are billed accurately, claims go out quickly, denials don’t sit unresolved, aging A/R stays low, and the organization collects as close as possible to what it is contractually owed. The right person understands behavioral-health billing, knows how to work effectively with commercial and government payers, and is motivated by getting claims paid accurately and efficiently.

Benefits:

• Flexible schedule
• Paid time off
• Health insurance

Behavioral Health Billing & Revenue Cycle Specialist

Location: Washington, D.C. / Maryland
Employment: Full-Time
Compensation: $52,000–$55,000 base salary + performance-based incentive compensation
Target Total Compensation: Approximately $65,000–$70,000+



About the Role



We are seeking an experienced Behavioral Health Billing & Revenue Cycle Specialist to manage billing and collections for our growing network of mental-health practices across Washington, D.C. and Maryland.



This is more than a claims-processing role. We are looking for someone who will take ownership of the revenue cycle, from eligibility verification and clean claims submission through payment posting, denial management, appeals, and accounts receivable.



The right person understands behavioral-health billing, knows how to work effectively with commercial and government payers, and is motivated by getting claims paid accurately and efficiently.



As we grow, this role has the opportunity to expand alongside the organization and ultimately support additional locations and markets.




What You’ll Own



·      Manage the end-to-end billing and collections process across multiple behavioral-health practices and providers



·      Verify insurance eligibility and benefits and identify authorization requirements



·      Review coding for accurate, timely claims submission



·      Submit clean claims to commercial and government payers



·      Post payments, adjustments, and insurance remittances



·      Proactively manage outstanding accounts receivable



·      Identify, investigate, and resolve denied or underpaid claims



·      Prepare and submit appeals when appropriate



·      Monitor timely filing deadlines and payer-specific requirements



·      Track aging A/R and aggressively follow up on outstanding balances



·      Help identify recurring billing issues and implement processes to prevent them



·      Support credentialing, payer enrollment, and authorization processes as needed



·      Produce clear monthly reporting on collections, denials, A/R, and overall revenue-cycle performance



·      Work closely with clinical and operational leadership to resolve billing issues




What We’re Looking For



·      3+ years of medical billing or revenue-cycle experience, preferably in behavioral or mental health



·      Strong knowledge of behavioral-health CPT codes and insurance billing



·      Experience working with commercial insurance and Medicaid and Medicare 



·      Familiarity with Maryland and Washington, D.C. payer requirements strongly preferred



·      Demonstrated experience managing denials, appeals, and aging A/R



·      Strong understanding of eligibility, benefits verification, authorizations, claims submission, and payment posting



·      Experience supporting multiple clinicians and/or multiple practice locations preferred



·      Highly organized and persistent, with strong attention to detail



·      Comfortable taking ownership of problems and following them through to resolution



·      Able to identify patterns in billing and collections data and recommend improvements



·      Familiarity with Waystar, Availity, and Valant is preferred




Compensation & Performance Incentive



We believe great revenue-cycle management should be rewarded when it produces measurable results.



The position includes a competitive base salary of approximately $52,000–$55,000, plus the opportunity to earn approximately $12,000–$15,000 in annual performance compensation, for target total compensation of approximately $65,000–$70,000+.



Performance incentives will be measured quarterly and tied to clearly defined revenue-cycle outcomes, including:



·      Adjusted collection rate



·      Reduction of A/R over 60 and 90 days



·      Denial rate and successful denial resolution



·      Clean-claim performance and timely filing



·      Accuracy and compliance



The incentive program is designed to reward meaningful improvements in collections and revenue-cycle performance rather than simply increases in patient or clinician volume.



Exceptional performance that materially improves collections and reduces outstanding A/R may create additional compensation opportunities.




What Success Looks Like



Success in this position means that services provided are billed accurately, claims go out quickly, denials don’t sit unresolved, aging A/R stays low, and the organization collects as close as possible to what it is contractually owed.



We’re looking for someone who approaches revenue cycle with an ownership mentality: if a claim hasn’t been paid, you want to understand why and get it resolved.



This is an opportunity to play an important role in a growing behavioral-health organization while building the billing and revenue-cycle infrastructure needed to support its continued expansion.

This is a remote position.