Job Description:
• Evaluate current billing workflows—from scheduling and documentation review to claims submission and payment posting.
• Identify inefficiencies, bottlenecks, rework, or breakdowns in communication.
• Recommend and document optimized processes, SOP revisions, and best-practice workflows.
• Provide guidance to leadership on how to structure the billing team for improved efficiency and accountability.
• Audit processes including copay verification, code selection accuracy, claim creation, payment posting, and management of denials.
• Ensure accuracy, compliance, and timeliness throughout the revenue cycle.
• Identify patterns of errors, avoidable rejections, or preventable denials.
• Provide written audit summaries, assessment reports, and practical implementation recommendations.
Requirements:
• 5+ years of progressive experience in Revenue Cycle Management (RCM) within the healthcare industry
• Strong background in auditing workflows, identifying root causes, and implementing operational improvements
• Deep understanding of claims lifecycle, charge posting, payment posting, denial management, and payer rules
• Ability to work independently, diagnose operational issues, and provide actionable recommendations
• Availability to work PST hours
• Experience in mental or behavioral health billing is preferred
• Expertise in full end-to-end RCM within multi-provider or multi-location environments is preferred
• Familiarity with systems such as TheraNest, EZClaim, and Waystar is preferred
• Experience creating SOPs, training, and billing performance dashboards is preferred
Benefits:
• 100% remote
• Part-time engagement
• Opportunity to help shape and improve an entire billing operation
• Collaborative leadership team committed to real change
• Purpose-driven organization supporting mental health access
Apply Now
Apply Now