Full Time
$7
40
Sep 3, 2026
We are looking for an experienced Behavioral Health / Substance Use Disorder (SUD) Medical Billing Specialist to support the billing and revenue cycle operations of a growing behavioral healthcare organization.
This role is ideal for someone with hands-on Behavioral Health or SUD billing experience, strong knowledge of Maryland Medicaid, and experience using CollabMD. The successful candidate will manage billing activities from insurance verification and authorizations through claims submission, denial resolution, and A/R follow-up.
- Verify patient insurance eligibility and Behavioral Health/SUD benefits
- Confirm coverage, benefits, payer requirements, and authorization requirements
- Identify potential insurance issues before services are billed
- Process and track prior authorizations for Behavioral Health and SUD services
- Monitor authorization numbers, approved units, service dates, and expiration dates
- Coordinate authorization renewals and additional units as needed
- Follow up with payers regarding pending or incomplete authorizations
- Prepare and submit accurate Behavioral Health and SUD claims
- Ensure claims include accurate patient, provider, diagnosis, CPT/HCPCS, modifier, authorization, and payer information
- Monitor claim status and follow up on rejected or unpaid claims
- Process Maryland Medicaid claims and follow payer-specific billing requirements
- Research and resolve Maryland Medicaid claim issues, rejections, and denials
- Review denied and rejected claims to determine root causes
- Correct errors and resubmit claims when appropriate
- Assist with reconsiderations and appeals
- Identify recurring denial trends and recommend solutions
- Monitor outstanding insurance claims and balances
- Conduct timely A/R follow-up with insurance companies
- Research aging claims, underpayments, and unpaid balances
- Maintain accurate documentation of payer communications and follow-up activities
- Maintain accurate billing information within CollabMD
- Keep patient, payer, authorization, and claim information accurate and up to date
- Maintain organized billing records and workflows
Requirements:
- 2+ years of hands-on medical billing experience
- Behavioral Health and/or SUD billing experience – Required
- Maryland Medicaid billing experience – Required
- Hands-on CollabMD experience – Required
- Experience with insurance verification and eligibility
- Prior authorization and renewal experience
- Claims submission and follow-up experience
- Denial management and appeals experience
- A/R and insurance collections experience
- Strong understanding of U.S. healthcare insurance processes
- Excellent attention to detail and follow-through
- Ability to work independently and manage multiple priorities
- Strong written and verbal English communication skills
- Ability to work U.S. Eastern Time hours
Non-Negotiables:
- Behavioral Health / SUD medical billing experience
- Maryland Medicaid billing experience
- Hands-on CollabMD experience
- Strong claims, denial, and A/R experience
- Prior authorization and renewal experience
- Experience working with U.S. healthcare payers
Work Setup:
- Full-Time Remote
- Monday–Friday
- U.S. Eastern Time
If you have direct Behavioral Health/SUD billing experience, Maryland Medicaid experience, and hands-on CollabMD experience, we'd love to hear from you.
Apply here:
OLJ Skills:
- Medical Billing
- Medicaid
- Accounts Receivable