Behavioral Health Biller - advancedMD

This is a remote position.

RCM Staff BPO is hiring a full-time Behavioral Health Biller to support a behavioral health practice based in Texas.

The biller handles the account's day-to-day revenue cycle in AdvancedMD, from charge entry and claim submission through denial work, appeals, payment posting, and A/R follow-up. This role requires hands-on behavioral health billing experience, strong attention to detail, consistent follow-up, and experience working with U.S. health insurance plans.

Key Responsibilities

• Enter charges and submit clean claims in AdvancedMD
• Work clearinghouse rejections and correct claims for resubmission
• Review and resolve denials, including preparing and submitting appeals
• Follow up on aged payer A/R and document every account touch
• Post insurance and patient payments, including ERA and EOB reconciliation
• Verify eligibility and benefits for behavioral health services when needed
• Track authorizations and session limits so claims are not denied for exhausted units
• Identify recurring denial patterns and report them to the account lead
• Maintain accurate notes, reference numbers, and payer call logs
• Protect patient information and follow HIPAA requirements

Qualifications

• At least 2 years of experience with U.S. healthcare insurance billing
• Hands-on denial management and A/R follow-up experience
• Familiarity with commercial insurance and government health plans
• Experience using payer portals and insurance websites
• Strong written and spoken English
• Excellent attention to detail and follow-up skills
• Ability to work independently and manage multiple patient accounts
• Reliable internet connection and a suitable remote workspace

Preferred Qualifications

• Experience billing for behavioral health, mental health, or substance use practices
• Experience using AdvancedMD
• Familiarity with Texas commercial and Medicaid plans
• Understanding of behavioral health CPT codes, time-based session billing, and authorization tracking

Schedule

• Full-time position
• Must be available during U.S. Central Time business hours
• Final schedule will be determined based on practice needs

Work Arrangement

• Remote
• Philippines-based applicants preferred