We're looking for a Medical Billing Specialist (Psychiatric RCM) to own the full revenue cycle for a busy psychiatric and mental health practice. You will manage all aspects of internal billing operations including claims creation and submission, payment posting, denial management, accounts receivable, patient collections, and patient financial inquiries. You will also serve as the primary liaison between the practice and its external billing partners.
This is a full-cycle role. You are not handling one piece of the billing workflow — you are owning the entire RCM process from claim to collection and serving as the primary point of contact for patient billing questions. eClinicalWorks (eCW) experience and recent psychiatric billing experience are hard requirements. If you have 2 or more years of full-cycle psychiatric or behavioral health billing experience, are proficient in eCW, have worked with Medicare, and are HIPAA certified, this role is a strong fit.
Why You'll Want to Join
You will be paid in USD (bi-monthly: every 15th and 30th)
Paid Time Off in accordance with company policy
Observance of Holidays per company guidelines
100% remote setup so you can work wherever you're most productive
This role requires availability during US business hours
Work inside a growing psychiatric and mental health practice with a dedicated and patient-focused team
High-ownership billing role with direct accountability for revenue cycle performance and patient financial experience
What You'll Work On
Revenue Cycle Management
Own all internal billing and collection activities for the practice end to end
Review claims for accuracy and identify billing issues prior to submission
Submit claims, manage claim rejections and denials, and file corrected claims and appeals as needed
Investigate and resolve underpayments and payer discrepancies
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 Phone Support
Serve as the primary contact for the practice's billing phone line
Answer patient questions regarding deductibles, copayments, coinsurance, eligibility, benefits, outstanding balances, payment plans, and billing statements
Provide patients with copies of billing statements, itemized receipts, and payment histories upon request
Explain billing information clearly, professionally, and compassionately to patients and families
Resolve patient billing concerns promptly and escalate complex issues when necessary
Reporting and Performance Monitoring
Monitor and report on key revenue cycle metrics to management including days in AR, AR aging, clean claim rate, claim submission lag, payment posting timeliness, and patient collection performance
Prepare accurate billing reports using Excel and other reporting tools
Flag performance trends and issues to the practice manager proactively
Compliance
Maintain full compliance with HIPAA requirements, payer guidelines, and all applicable federal and state regulations
Ensure billing documentation supports medical necessity and payer requirements
Collaborate with administrative staff and leadership to resolve billing-related concerns and improve operational processes
What You Bring
At least 2 to 3 years of proven full-cycle medical billing and revenue cycle experience with recent psychiatric or behavioral health billing experience strongly preferred — this is a hard requirement
Proficiency in eClinicalWorks (eCW) with recent hands-on experience preferred — eCW…