[Hiring] Internal Billing & Revenue Cycle Specialist @Assist World

Role Description

Flourish Mental Health is seeking an experienced, highly organized, and patient-focused Internal Billing & Revenue Cycle Specialist to own the practice's full-cycle revenue cycle management, front to back. This role is responsible for the complete billing lifecycle:

• Charge capture and check-in
• Claim submission
• Payment posting
• Denial management
• AR follow-up
• Patient collections

This person must be able to work Medicare Part B claims independently from day one, without an internal mentor to lean on. The ideal candidate is comfortable working both behind the scenes on billing operations and directly with patients and families to provide exceptional, compassionate customer service.

Essential Duties and Responsibilities

• Revenue Cycle (Full Cycle, Front to Back)
  • Own the full revenue cycle for the practice, front and back office.
  • Review claims for accuracy and identify billing issues prior to submission.
  • Investigate and resolve claim rejections, denials, and underpayments; submit corrected claims and appeals as necessary.
  • Review and work accounts receivable aging reports to ensure timely reimbursement.
  • Serve as the primary point of contact for both patients and insurance payers.
• Patient Billing & Collections
  • Manage patient balances and collection activities in accordance with practice policies.
  • Contact patients regarding outstanding balances and establish payment arrangements when appropriate.
  • Process patient payments and maintain accurate, transparent account balances.
  • Reconcile payment discrepancies and research billing concerns.
  • Maintain accurate financial documentation and patient account records.
• Patient Financial Services & Customer Support
  • Serve as the primary contact for the practice's billing phone line.
  • Answer patient questions regarding deductibles, copayments, coinsurance, eligibility/benefits, outstanding balances, payment arrangements, and billing statements/charges.
  • Provide patients with copies of billing statements, itemized receipts, and payment histories upon request.
  • Explain billing information clearly, professionally, and compassionately to patients and families.
  • Resolve patient billing concerns promptly and escalate complex issues when necessary.
  • Exceptional phone etiquette and customer service are required.
• Reporting & Performance Monitoring
  • Monitor and report on key revenue cycle metrics to management.
  • Prepare and present clear reports for the CEO's weekly billing meeting.
• Compliance & Collaboration
  • Maintain compliance with HIPAA, payer guidelines, and all applicable federal and state regulations.
  • Ensure billing documentation supports medical necessity and payer requirements.
  • Collaborate effectively with the Practice Manager, administrative staff, and CEO to resolve billing-related concerns.

Qualifications

• 2+ years medical billing / revenue cycle experience, with dedicated behavioral health billing experience.
• Direct, hands-on Medicare billing experience, ideally Medicare Part B.
• Current HIPAA certification.
• Comprehensive knowledge of the full billing lifecycle.
• Strong understanding of behavioral health CPT coding, ICD-10 coding, insurance terminology, and payer guidelines.
• Exceptional customer service and phone/communication skills.
• Strong analytical, organizational, and problem-solving skills.
• Working proficiency in Excel and PowerPoint.

Extras

• Experience with eClinicalWorks (eCW) or a comparable EHR/EMR.
• Experience with Medicaid billing.
• Experience with EAP insurances, particularly Lyra and ComPsych.

Compensation

$1,200 - $1,300 a month

Benefits

• 100% REMOTE
• $50 birthday bonus
• $200 testimonial bonus