Behavioral Health Billing Specialist - End-to-End RCM

Regard Management PA LLC; Lyndora (PA); On-site; USD 28,000 - 39,000; Full time

Job summary

Regard Management PA LLC is hiring a BH Billing Specialist in Butler, PA to join our Revenue Cycle Management team. This hourly, full-time role handles end-to-end behavioral health billing, credentialing, verification, prior authorizations, claims submission, and AR follow-up.

You will work closely with clinical and administrative staff to ensure accurate reimburse­ment and a smooth financial experience for patients and providers in a behavioral health setting.

Qualifications

• Minimum of 2 years of medical billing experience with a focus on behavioral health billing.
• Hands-on experience with behavioral health payer contracting and credentialing for providers and locations.
• Experience in revenue cycle management including claims submission, AR follow-up, and collections.
• Proficiency in insurance verification, coverage and benefits verification, and prior authorization workflows for behavioral health services.
• Strong understanding of behavioral health billing requirements, payer rules, and common denial reasons.
• Experience using practice management and/or EHR systems for billing, claims, and credentialing workflows.
• Ability to interpret EOBs/ERAs, payer remittances, and resolve discrepancies or underpayments.
• High attention to detail, accuracy, and organization in managing multiple payers, providers, and deadlines.
• Strong written and verbal communication skills, with the ability to interact professionally with payers, patients, and internal teams.
• Proven ability to work independently in a fast-paced environment while meeting productivity and quality standards.
• Familiarity with HIPAA regulations and maintaining confidentiality of patient and practice information.

Responsibilities

• Manage behavioral health payer contracting processes for the organization, including completing applications, updating contracts, and maintaining payer records.
• Credential and re-credential behavioral health providers and locations with commercial and government payers, ensuring all requirements and deadlines are met.
• Verify patient insurance coverage and behavioral health benefits prior to services, documenting eligibility, copays, coinsurance, deductibles, and visit limits.
• Obtain, track, and renew prior authorizations for behavioral health services, ensuring accurate clinical information and timely approvals.
• Prepare, review, and submit clean behavioral health claims (electronic and paper) to payers in accordance with payer-specific billing rules and timelines.
• Monitor and manage accounts receivable (AR), including identifying outstanding claims, aged balances, and underpayments.
• Conduct proactive follow-ups on unpaid, denied, or rejected claims; work denials and appeals to resolution to maximize reimbursement.
• Post payments and adjustments from payers and patients accurately and promptly, reconciling against remittance advices and EOBs.
• Identify and correct billing errors, trends, or documentation issues that impact claim acceptance or payment.
• Communicate with payers, patients, and internal teams to resolve billing, coverage, and authorization issues.
• Maintain up-to-date knowledge of behavioral health billing, credentialing, and payer policies, including coverage and authorization requirements.
• Document all billing, credentialing, verification, and follow-up activities in the practice management and/or EHR systems.
• Support revenue cycle process improvements and help implement best practices for behavioral health RCM.

Skills

Medical billing

Behavioral health billing

Payer contracting

Credentialing

Accounts receivable follow-up

Insurance verification

Prior authorizations

EHR systems

HIPAA compliance

Communication skills

Tools

Practice management systems

EHR systems

Job description

Regard Management PA LLC is hiring a BH Billing Specialist in Butler, PA to join our Revenue Cycle Management team. This hourly, full-time role handles end-to-end behavioral health billing, credentialing, verification, prior authorizations, claims submission, and AR follow-up.

You will work closely with clinical and administrative staff to ensure accurate reimburse­ment and a smooth financial experience for patients and providers in a behavioral health setting.