Claims Follow-Up Lead-CA
About The Position
Behavioral Health | Government & Commercial Payers | Lean Growth Organization | Remote WellPsyche Medical Group is a leading telehealth behavioral health organization providing high-quality outpatient mental health services to children, adolescents, and adults across the United States. As a fully remote organization, our team collaborates to expand access to compassionate mental health care while continuously improving the technology and systems that support patient care. We are a lean and fast-growing organization, which means every team member plays a meaningful role in improving operations, strengthening revenue cycle performance, and supporting our mission to help patients become the best version of themselves. The Claims Follow-Up Lead is a senior, hands-on revenue cycle professional responsible for resolving complex denials, accelerating accounts receivable, and supporting daily claims workflow execution. This is a working lead role — not a full people management position — designed for someone who can both execute independently and elevate the performance of the follow-up team. The ideal candidate is experienced in behavioral health billing, government payers, and high-volume claims follow-up, and thrives in a fast-moving, accountability-driven environment.
Requirements
- 3–5+ years behavioral health claims follow-up
- Strong government payer experience
- Experience in high-volume, multi-state billing
- Ability to work independently in a remote setting
- Comfortable in a startup environment with evolving processes
- Must have a home office free from distractions and private for HIPAA purposes, and be available during work hours via Zoom, Chat, phone and other communication methods.
Responsibilities
- Follow up on denied, underpaid, and aged behavioral health claims.
- Work complex government payers including:
- Medi-Cal / Medicaid (FFS & Managed Care)
- Medicare (Part B & Advantage)
- VA Community Care (TriWest / Optum)
- Submit appeals and corrected claims within timely filing limits.
- Escalate payer issues strategically and track resolution outcomes.
- Prioritize high-value and aging accounts.
- Identify denial trends and root causes.
- Proactively surface systemic billing issues to leadership.
- Contribute directly to cash flow improvement.
- Act as subject-matter expert for junior follow-up staff.
- Assist with daily work allocation and prioritization.
- Support productivity and quality standards.
- Participate in process improvements in a fast-moving environment.
- Possess qualities supporting the company values of people matter, compassionate leadership, mamba mentality, WOW service.
Benefits
- 100% Remote Work – Enjoy the flexibility of working from home while eliminating commute time and costs.
- Technology Support – We provide a company computer along with partial internet reimbursement to ensure you have the tools you need to succeed.
- Comprehensive Health Benefits – Access to competitive health insurance plans designed to support your overall well-being.
- Paid Time Off – We believe rest and personal time are essential for maintaining balance and preventing burnout.
- Work/Life Balance – Our culture prioritizes flexibility, respect, and sustainable workloads.
- Career Growth – As our organization continues to expand, we offer meaningful opportunities for professional development and advancement.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
