Billing & Revenue Cycle Specialist

About the Role

A US-based behavioral health practice is seeking an experienced and highly organized Internal Billing and Revenue Cycle Specialist to oversee all aspects of its internal billing operations. This role is responsible for patient billing, accounts receivable, payment posting, collections, denial management, and serving as the primary point of contact for all patient financial inquiries and external billing partner coordination.

The ideal candidate has a comprehensive understanding of the full revenue cycle and is equally comfortable working through billing operations behind the scenes and communicating directly with patients about their financial accounts. This role requires professionalism, precision, and genuine compassion in every patient interaction.

Department: Revenue Cycle Management (RCM)

Reports to: Practice Manager

Employment type: Full-Time

Key Responsibilities

Revenue Cycle Management

•      Manage internal billing and collection activities for the practice

•      Oversee the full billing lifecycle, including claim creation, claim submission, claim and patient balance investigation, balance corrections and adjustments, payment posting, and accounts receivable workflows

•      Review claims for accuracy and identify billing issues prior to submission

•      Investigate and resolve claim rejections, denials, and underpayments; submit corrected claims and appeals as necessary

•      Review and work accounts receivable aging reports to ensure timely reimbursement

•      Serve as the primary liaison between the practice and external billing vendors

Patient Billing and Collections

•      Manage patient balances and collection activities in accordance with practice policies

•      Contact patients regarding outstanding balances and establish payment arrangements when appropriate

•      Process patient payments and maintain accurate account balances

•      Reconcile payment discrepancies and research billing concerns

•      Maintain accurate financial documentation and patient account records

Patient Financial Services and Customer Support

•      Serve as the primary contact for the practice's billing phone line

•      Answer patient questions regarding deductibles, copayments, coinsurance, eligibility and benefits, financial responsibility, outstanding balances, payment plans, billing statements, and individual charges

•      Provide patients with copies of billing statements, itemized receipts, and payment histories upon request

•      Explain billing information clearly, professionally, and compassionately to patients and their families

•      Resolve patient billing concerns promptly and escalate complex issues to the appropriate team member when necessary

Reporting and Performance Monitoring

•      Monitor and report on key revenue cycle metrics to management, including days in accounts receivable, AR aging reports, clean claim rate, claim creation and submission lag, payment posting timeliness, and patient collection performance

Compliance and Collaboration

•      Maintain compliance with HIPAA, payer guidelines, and all applicable federal and state regulations

•      Ensure billing documentation supports medical necessity and payer requirements

•      Collaborate with administrative staff and practice leadership to resolve billing-related concerns and improve operational processes

Qualifications

Required

•      Minimum 2 to 3 years of medical billing and revenue cycle experience

•      Experience with eClinicalWorks (eCW)

•      Comprehensive knowledge of the full medical billing lifecycle, including claims management, payment posting, denials, collections, and accounts receivable

•      Experience working with commercial insurance plans, Medicare part B (required)

•      Strong understanding of CPT coding, ICD-10 coding

•      Exceptional customer service and communication skills, with the ability to discuss financial matters professionally and compassionately

•      Strong analytical, organizational, and problem-solving skills

•      Ability to work independently, manage multiple priorities, and maintain a high degree of accuracy

•      Behavioral health or mental health billing experience