Revenue Cycle & Reimbursement Specialist

Neurobehavioral Center for Growth•Bountiful, UT

1d•Onsite

About The Position

Neurobehavioral Center for Growth (NBCG) is a fast-growing, multi-location behavioral health practice in Utah with offices in Salt Lake City, Bountiful, South Ogden, and Ogden. We offer a comprehensive suite of services including psychiatry, medication management, TMS, Spravato/esketamine, ketamine therapy, ABA therapy, neuropsychological testing, and speech therapy. Our mission is to deliver exceptional, accessible care — and we're building the systems and team to do it at scale. We're looking for a sharp, detail-oriented Revenue Cycle & Reimbursement Specialist to own the billing and prior authorization function for our psychiatric medication management service line. This is a high-impact role on a team that moves fast and values people who take initiative. You'll work directly with our clinical and operations leadership to reduce claim denials, accelerate reimbursement, manage prior authorizations across payers, and help us build smarter, more automated billing workflows. We're actively investing in AI and automation tools — this role will evolve alongside that infrastructure and offers real opportunity for someone who wants to grow beyond traditional billing.

Requirements

2+ years of medical billing or prior authorization experience in a healthcare setting
Working knowledge of psychiatric CPT codes, E&M documentation requirements, and behavioral health billing
Experience navigating multi-payer environments including commercial insurance, Medicare, and Medicaid
Strong written communication skills for appeals, payer correspondence, and internal documentation
Organized, deadline-driven, and comfortable managing a high volume of concurrent tasks
Proficiency with EHR/practice management systems (AdvancedMD experience a plus)

Nice To Haves

Experience with specialty behavioral health billing — TMS, Spravato/esketamine, or ketamine therapy
Familiarity with Utah payer landscape (SelectHealth, EMI Health, BCBS of Utah, Molina Medicaid)
Experience with prior authorization workflows post-Cigna/Evernorth policy changes for TMS (March 2026)
Comfort with or curiosity about automation tools, AI-assisted workflows, or healthcare technology
CPC, CPMA, or CBCS certification (or in progress)

Responsibilities

Manage end-to-end prior authorization workflows for psychiatric medication management, including E&M codes (99212–99215), add-on psychotherapy codes (90833), and specialty services
Submit, track, and appeal insurance claims across commercial payers, Medicare, Medicaid, and Utah-specific plans (BCBS, SelectHealth, EMI Health, Molina, etc.)
Own denial management — identify root causes, write appeals, and track resolution rates
Verify patient insurance eligibility and benefits prior to appointments
Coordinate with clinical providers and front-office staff on documentation requirements to support clean claim submission
Maintain accurate records in AdvancedMD (our EHR/PM system) and ensure billing data integrity
Support specialty service billing including Spravato/esketamine REMS documentation requirements and TMS prior authorization workflows
Identify patterns in denials, underpayments, and payer behavior and surface them to leadership with recommendations
Participate in building and QA-ing automated billing workflows as we expand our Keragon + AI automation infrastructure
Stay current on payer policy changes, CPT code updates, and CMS fee schedule changes affecting behavioral health reimbursement

Benefits

Health Insurance
Vision Insurance
Dental Insurance
Short Term Disability Insurance
Retirement Planning: Before Tax & Roth 401k 3% Match
Life Insurance: $25,000 covered completely by NBCG, with additional optional coverage available.
Capella University Discount: 50% off your first 12-week session, 10% tuition discount on all subsequent sessions
Paid Time Off & Holiday Pay: 10 paid holidays for full-time employees, 5 paid holidays for part-time employees. Additional PTO increasing yearly starting with 2 weeks.
Parental Leave: Up to 6 Weeks Paid Leave for full-time employees after 12 months of service.
Professional Liability Insurance: Covered by NBCG 1mil/3mil limits.