Billing Representative-Remote

Briarwood Detox; Austin (TX); A distancia; USD 45.000 - 60.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health, dental, vision and life cover

Generous paid time off

Merit-based raises and route to promo

Descripción de la vacante

Briarwood Detox in Austin, TX seeks a Billing Representative to manage the revenue cycle for residential treatment and detox services. You will scrub and submit claims, post payments, and monitor denials while ensuring timely payer communication.

The role requires 2–4 years of medical billing experience, familiarity with 837I/837P formats, UB-04, and strong knowledge of payer policies and reimbursement guidelines.

Formación

• 2–4 years of dedicated medical billing and collections experience.
• Experience billing Residential Treatment Centers (RTC) and/or inpatient detoxification services.
• Knowledge of Revenue Cycle Management (RCM) and payer policies.
• Proficiency with UB-04 claim forms and electronic submissions (837I/837P).

Responsabilidades

• Manage full medical billing lifecycle for RTC/detox services.
• Submit electronic claims using 837I/837P.
• Post insurance payments and 835 ERA accurately.
• Denials & Appeals management and track outcomes.
• Monitor accounts receivable balances and follow up on unpaid claims.
• Ensure compliance with payer guidelines and documentation timelines.

Conocimientos

RCM knowledge

Analytical skills

Attention to detail

Problem-solving

Herramientas

UB-04 forms

837I/837P submission

Clearinghouse systems

835 ERA posting

Denial management

Descripción del empleo

The Billing Representative is responsible for managing the revenue cycle process for residential treatment and detoxification services. This position requires expertise in behavioral health billing, claim submission, payment posting, denial management, and accounts receivable follow-up.

Schedule

• Monday-Friday 8-5 with availability for weekends and holidays.

What you will do

• Essential Functions
• Manage the full medical billing lifecycle for residential treatment and detoxification services.
• Review and scrub claims to ensure accuracy and compliance prior to submission.
• Submit electronic claims using 837I and 837P transaction formats.
• Monitor and resolve clearinghouse claim rejections.
• Post insurance payments and electronic remittance advice (835 ERA) transactions accurately and timely.
• Ensure claims are submitted in accordance with payer guidelines and required clinical documentation timelines.
• Maintain accurate billing records and support documentation.
• Denials & Appeals Management
• Audit denied claims to identify the cause of denial and determine corrective action.
• Interpret payer policies and reimbursement guidelines.
• Prepare and submit timely appeals for both technical and clinical denials.
• Gather and organize supporting documentation necessary for successful appeals.
• Track appeal outcomes and follow up with payers as needed.
• Implement strategies to reduce future denials and prevent revenue loss.
• Accounts Receivable Management
• Monitor outstanding accounts receivable balances.
• Follow up on unpaid or underpaid claims.
• Research reimbursement discrepancies and payment delays.
• Work to reduce aging accounts and improve overall collections performance.
• Maintain detailed documentation of collection activities and payer communications.

Required

• Physical Residence in Texas, Arkansas or Ohio.
• Required Education & Experience
• Minimum of 2 to 4 years of dedicated medical billing and collections experience.
• Experience billing Residential Treatment Centers (RTC) and/or inpatient detoxification services required.
• Experience handling high-acuity behavioral health claims preferred.
• Knowledge & Skills
• Comprehensive understanding of Revenue Cycle Management (RCM).
• Knowledge of:
• Claim scrubbing
• Electronic claim submission (837I/837P)
• Clearinghouse rejection resolution
• Payment posting (835 ERA)
• Denial management
• Accounts receivable follow-up
• Proficiency with UB-04 claim forms.
• Knowledge of behavioral health revenue codes, including detoxification and residential treatment revenue codes (e.g., 0126–1001).
• Strong understanding of payer policies and reimbursement guidelines.
• Ability to analyze denials and prepare effective appeals.
• Strong attention to detail and organizational skills.
• Excellent problem-solving and analytical abilities.

Benefits

• Health, dental, vision and life cover.
• Generous paid time off.
• Merit-based raises and a route to promotion, reviewed on a schedule rather than on request.
• Full Time employees are eligible for Health, Dental, Vision and Life Insurance in accordance with Nova Policies. PTO begins to accrue at a rate of 5.85 hours per pay period after the probationary period.

Physical Residence in Texas, Arkansas or Ohio. Required Education & Experience Minimum of 2 to 4 years of dedicated medical billing and collections experience. Experience billing Residential Treatment Centers (RTC) and/or inpatient detoxification services required. Experience handling high-acuity behavioral health claims preferred. Knowledge & Skills Comprehensive understanding of Revenue Cycle Management (RCM). Knowledge of: Claim scrubbing Electronic claim submission (837I/837P) Clearinghouse rejection resolution Payment posting (835 ERA) Denial management Accounts receivable follow-up Proficiency with UB-04 claim forms. Knowledge of behavioral health revenue codes, including detoxification and residential treatment revenue codes (e.g., 0126–1001). Strong understanding of payer policies and reimbursement guidelines. Ability to analyze denials and prepare effective appeals. Strong attention to detail and organizational skills. Excellent problem-solving and analytical abilities.