This is a remote position.
RCM Staff BPO is hiring a full-time Behavioral Health Biller to support a behavioral health practice based in Texas.
The biller handles the account's day-to-day revenue cycle in AdvancedMD, from charge entry and claim submission through denial work, appeals, payment posting, and A/R follow-up. This role requires hands-on behavioral health billing experience, strong attention to detail, consistent follow-up, and experience working with U.S. health insurance plans.
Key Responsibilities
* Enter charges and submit clean claims in AdvancedMD
* Work clearinghouse rejections and correct claims for resubmission
* Review and resolve denials, including preparing and submitting appeals
* Follow up on aged payer A/R and document every account touch
* Post insurance and patient payments, including ERA and EOB reconciliation
* Verify eligibility and benefits for behavioral health services when needed
* Track authorizations and session limits so claims are not denied for exhausted units
* Identify recurring denial patterns and report them to the account lead
* Maintain accurate notes, reference numbers, and payer call logs
* Protect patient information and follow HIPAA requirements
Qualifications
* At least 2 years of experience with U.S. healthcare insurance billing
* Hands-on denial management and A/R follow-up experience
* Familiarity with commercial insurance and government health plans
* Experience using payer portals and insurance websites
* Strong written and spoken English
* Excellent attention to detail and follow-up skills
* Ability to work independently and manage multiple patient accounts
* Reliable internet connection and a suitable remote workspace
Preferred Qualifications
* Experience billing for behavioral health, mental health, or substance use practices
* Experience using AdvancedMD
* Familiarity with Texas commercial and Medicaid plans
* Understanding of behavioral health CPT codes, time-based session billing, and authorization tracking
Schedule
* Full-time position
* Must be available during U.S. Central Time business hours
* Final schedule will be determined based on practice needs
Work Arrangement
* Remote
* Philippines-based applicants preferred
