Behavioral Health Revenue Cycle Specialist

Archdiocese of St. Louis•St. Louis, MO

About The Position

Since its founding in 1985, Queen of Peace Center (QOPC) has been providing family-centered behavioral healthcare for women, children, and families. As a member of the Federation of Catholic Charities, we serve the metropolitan and surrounding St. Louis area through four core programs: prevention, education, treatment, and housing. POSITION SUMMARY The Behavioral Health Revenue Cycle Specialist plays a critical role in ensuring accurate and timely billing for behavioral health services. This position is responsible for managing claims, reconciling payments, and maintaining compliance with state, federal, and private funding sources. The ideal candidate will bring a minimum of five years of behavioral health billing and management experience, strong analytical skills, and a commitment to supporting the financial health of a mission-driven organization.This is a dual-role position supporting both St. Louis Counseling and Queen of Peace Center, requiring cooordination across programs to ensure accurate and timely behavioral health billing.OVERVIEW & RESPONSIBILITIES

Requirements

Associate degree in Medical Billing, Business Administration, or a related field required, or a minimum of 5+ years of behavioral health billing experience in lieu of a degree.
2–6 years of experience in behavioral health billing required.
Knowledge of HIPAA regulations and behavioral health compliance requirements.
Experience working with behavioral health billing systems and Medicaid billing processes.
Proficiency in ICD-9, ICD-10, and CPT coding, with preference for experience specific to behavioral health coding.
Experience using Electronic Health Record (EHR) systems, preferably CareLogic.
Ability to sit, stand, and travel within the ministries as needed.
Problem-Solving & Denial Management: Demonstrated ability to analyze issues, investigate claim denials, and implement effective solutions to resolve discrepancies and improve outcomes.
Client & Provider Communication: Ability to communicate effectively with clients and providers while maintaining a strong customer service orientation and professionalism.
Written & Verbal Communication: Excellent written and verbal communication skills with the ability to clearly document information and convey messages accurately.
Excel Proficiency: Intermediate to advanced proficiency in Microsoft Excel, including data entry, use of formulas, and creation of pivot tables for data analysis and reporting.
Attention to Detail & Organization: Exceptional attention to detail with strong organizational skills to manage multiple tasks accurately and efficiently.

Nice To Haves

Bachelor’s degree in Healthcare Administration or a related field preferred.
Certified Medical Billing Specialist (CMBS) or other relevant medical billing certification preferred.
Familiarity with Missouri Department of Mental Health (DMH) billing procedures preferred.
Experience with grant-funded service billing and reconciliation preferred.
Familiarity with commercial insurance portals (e.g., Availity, HealthLink, WPS) preferred.
Knowledge of provider credentialing requirements preferred.

Responsibilities

Accurately review, process, and submit consumer demographic and billing data into the Treatment Episode Submission System (TSS) to ensure compliance with federal TEDS reporting requirements and support timely, error‑free data transmission to the Missouri Department of Mental Health.
Submit and track behavioral health claims through the Electronic Health Record (EHR) system (CareLogic experience a plus).
Prepare and reconcile direct billing, invoicing, and payment requests for services funded by Medicaid, DBH, private insurance, and grants.
Ensure compliance with billing protocols for all funding sources, including state and federal guidelines.
Execute procedures to prevent billing errors and incorrect claims.
Maintain up-to-date client records for state reporting and internal audits.
Collaborate with clinical and administrative staff to ensure billing accuracy and resolve discrepancies.
Assist with data reporting.
Ensure payments are posted accurately and maintain detailed records of transactions.
Review and correct claim errors, duplicates, and missing data prior to submission.
Meet performance benchmarks such as 98% clean claim rate and AR days under 45.
Perform other duties assigned to support ministry operations.