Behavioral Health RCM Lead – PHP/IOP Billing & Collections (US Client, Remote)

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TYPE OF WORK

Full Time

SALARY

$1,000-$1,600/month

HOURS PER WEEK

40

DATE UPDATED

Sep 4, 2026

JOB OVERVIEW

A US-based outpatient behavioral health provider (PHP/IOP levels of care) needs a hands-on Revenue Cycle lead to own billing and collections end-to-end. You'll be the person keeping cash flow healthy — clean claims out the door, denials chased down, and AR aging under control — for a growing outpatient treatment program.

WHAT YOU'LL OWN
- Full-cycle billing for PHP and IOP claims: charge entry, coding review, and timely claims submission (UB-04/CMS-1500) to commercial payers
- Insurance verification and authorization tracking for new and continuing clients, including concurrent review submissions
- Denial management: research, appeal, and resubmit denied/underpaid claims, tracking root causes to reduce recurring denials
- Payment posting and reconciliation against EOBs/ERAs
- AR aging oversight — proactively work claims past 30/60/90 days rather than waiting on reports
- Payer follow-up calls and portal work across commercial behavioral health payers
- Monthly reporting to leadership on collections, denial rates, AR days, and net revenue trends
- Coordination with clinical/admin staff to fix documentation or authorization gaps upstream before they cause denials

WHAT YOU BRING
- 3+ years in US medical billing/RCM, with direct experience in behavioral health (PHP/IOP or SUD treatment billing specifically — not just general medical billing)
- Working knowledge of behavioral health CPT/HCPCS codes (H0015, S9480, etc.) and payer-specific PHP/IOP requirements
- Experience with a billing/EHR platform such as Kipu, CollaborateMD, TheraNest, or similar
- Comfortable owning denial appeals independently, not just flagging them
- Strong written English for payer correspondence and internal reporting
- Reliable overlap with US business hours

NICE TO HAVE
- Experience managing or mentoring a junior biller
- Familiarity with utilization review/concurrent authorization workflows
- Google Sheets/Excel fluency for building your own AR tracking views

SCREENING QUESTIONS (please answer in your application)
1. How many years of hands-on PHP/IOP (or SUD) billing experience do you have, and which platform(s) did you bill on?
2. Walk me through how you'd work a claim that's been denied for "authorization not on file."
3. What was your AR-over-90-days percentage in your most recent role, and how did you keep it there?
4. What US time zone hours can you reliably overlap?
5. What's your expected monthly rate?

SKILL REQUIREMENT
Healthcare Medical Billing
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