Billing Representative — Remote, TX

Briarwood Detox; Texas; Hybrid; USD 52,000 - 78,000; Full time

Job summary

Briarwood Detox in Texas offers a fully remote billing role overseeing the complete revenue cycle for residential treatment and detox services. You will scrub claims, manage denials, appeals, and AR, ensuring accuracy before submission.

Submit 837I/837P claims, post payments and 835 ERA, and travel occasionally within Texas for meetings and audits. A on-call rotation is required; experience with residential/detox billing is essential.

Qualifications

• Two to four years of dedicated medical billing and collections experience.
• Billing experience with Residential Treatment Centers or inpatient detox is required.
• Electronic claim submission in 837I and 837P, and clearinghouse rejection resolution.
• Payment posting and 835 ERA processing.
• Denial management, appeals, and AR follow-up.
• UB-04 claim forms and behavioral health revenue codes for residential and detox.
• Reliable internet with a backup connection; travel within Texas may be required.

Responsibilities

• Manage the complete billing lifecycle for residential treatment and detox services.
• Review, audit and scrub claims for accuracy and compliance before submission.
• Submit electronic claims in 837I and 837P, and clear clearinghouse rejections.
• Post insurance payments and 835 ERA transactions accurately.
• Investigate denials, find root causes, and prepare appeals.
• Work the AR — unpaid, underpaid and delayed claims, and the reasons behind them.
• Build strategies that stop the next denial rather than just resolving this one.

Skills

Medical billing

AR follow-up

Denial management

Appeals

AR analysis

Tools

837I/837P submissions

835 ERA processing

UB-04 & BH revenue codes

Job description

Every claim paid and every denial overturned is treatment somebody actually receives. You would own the full revenue cycle for residential and detox services — scrubbing claims before they go, appealing the ones that come back, and chasing the ones that go quiet.

Schedule

• Full time, standard business hours — carriers and internal teams keep them, so you do too.
• Fully remote, from anywhere in Texas.
• An on-call rotation including weekends and holidays may be required; the facilities run 24 hours a day, 365 days a year.
• Occasional travel to Nova facilities around Texas for meetings, training and audits.

What you will do

• Manage the complete billing lifecycle for residential treatment and detox services.
• Review, audit and scrub claims for accuracy and compliance before submission.
• Submit electronic claims in 837I and 837P formats, and clear clearinghouse rejections.
• Post insurance payments and 835 ERA transactions accurately.
• Investigate denials, find the root cause, and prepare technical and clinical appeals.
• Work the AR — unpaid, underpaid and delayed claims, and the reasons behind them.
• Build strategies that stop the next denial rather than just resolving this one.

Required

• Two to four years of dedicated medical billing and collections experience.
• Billing experience with Residential Treatment Centers or inpatient detox — this one is required, not preferred.
• Electronic claim submission in 837I and 837P, and clearinghouse rejection resolution.
• Payment posting and 835 ERA processing.
• Denial management, appeals, and AR follow-up.
• UB-04 claim forms, and behavioral health revenue codes for residential and detox.
• Reliable internet with a backup connection, and reliable transportation for Texas travel.

Preferred

• Behavioral health claims and reimbursement processes specifically.

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.
• An employee referral bonus.
• A role measured on outcomes you control — first-pass clean claim rate above 95%, denial resolution time, appeals recovery, 90-day AR and DSO.
• Autonomy: you would work independently, alongside clinical and operational teams rather than inside a billing pool.

Two to four years of dedicated medical billing and collections experience. Billing experience with Residential Treatment Centers or inpatient detox — this one is required, not preferred. Electronic claim submission in 837I and 837P, and clearinghouse rejection resolution. Payment posting and 835 ERA processing. Denial management, appeals, and AR follow-up. UB-04 claim forms, and behavioral health revenue codes for residential and detox. Reliable internet with a backup connection, and reliable transportation for Texas travel.