Behavioral Health Billing & Revenue Cycle Specialist

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 an ownership-focused role covering the full revenue cycle—from eligibility verification and clean-claim submission through payment posting, denial management, appeals, and A/R. The ideal candidate understands behavioral-health billing, works effectively with commercial and government payers, and is motivated to maximize accurate and timely reimbursement. As we grow, this role may expand to support additional locations and markets.

Key Responsibilities

• Manage end-to-end billing and collections across multiple practices and providers
• Verify eligibility, benefits, and authorization requirements
• Review coding and submit accurate, timely claims
• Work with commercial insurance, Medicaid, and Medicare
• Post payments, adjustments, and remittances
• Monitor and actively manage outstanding A/R
• Investigate and resolve denied, rejected, and underpaid claims
• Prepare and submit appeals
• Track timely-filing deadlines and payer requirements
• Monitor A/R aging and follow up on outstanding balances
• Identify recurring billing issues and implement process improvements
• Support credentialing, payer enrollment, and authorizations as needed
• Prepare monthly reporting on collections, denials, A/R, and revenue-cycle performance
• Partner with clinical and operational leadership to resolve billing issues

Qualifications

• 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 with commercial insurance, Medicaid, and Medicare
• Familiarity with Maryland and Washington, D.C. payer requirements preferred
• Proven experience managing denials, appeals, and aging A/R
• Strong knowledge of eligibility, authorizations, claims submission, and payment posting
• Experience supporting multiple clinicians and/or locations preferred
• Highly organized, persistent, and detail-oriented
• Strong problem-solving skills and an ownership mentality
• Ability to analyze billing data and recommend improvements
• Waystar, Availity, and Valant experience preferred

Compensation & Performance Incentive

Base salary is $52,000–$55,000, plus approximately $12,000–$15,000 in annual performance compensation, for target total compensation of $65,000–$70,000+. Quarterly incentives will be tied to measurable 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 rewards meaningful improvements in collections and revenue-cycle performance—not simply increases in patient or clinician volume. Exceptional performance may create additional compensation opportunities.

What Success Looks Like

Success means claims are submitted accurately and quickly, denials are resolved promptly, aging A/R remains low, and the organization collects as close as possible to what it is contractually owed. We want someone who takes ownership: if a claim hasn't been paid, you want to understand why, take action, and see it through to resolution. This is an opportunity to play a key role in a growing behavioral-health organization and help build the revenue-cycle infrastructure needed for continued expansion.