Behavioral Health Billing & Revenue Cycle Specialist

Ellie Mental Health - 022

1d•$52,000 - $55,000•Remote

About The Position

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.

Requirements

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

Nice To Haves

Familiarity with Waystar, Availity, and Valant is preferred

Responsibilities

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