Revenue Cycle & Billing Specialist - Behavioral Health

Revenue Cycle & Billing Specialist – Behavioral Health

Guillaume Marriage and Family Counseling of California, P.C. is seeking an experienced, detail-oriented, and highly organized Revenue Cycle & Billing Specialist to manage medical billing and revenue cycle operations for our outpatient behavioral health practices in California and Oregon .

Applicants must have at least one year of hands-on experience billing both Medi-Cal and commercial insurance . Bilingual proficiency in English and Spanish is strongly preferred but not required.

This position is responsible for insurance claims processing, payment posting, denial resolution, accounts receivable, patient collections, private-pay billing, and direct client communication regarding billing and payments.

This is a part-time, primarily remote (hybrid), hourly W-2 position based in Sacramento, California, requiring approximately 20–60 hours per month . Billing responsibilities must be completed each business day, although weekly hours may vary.

Occasional visits to our Sacramento office are required. Opportunities for increased hours and potential full-time employment are available as the organization grows.

Key Responsibilities

• Prepare, submit, and follow up on Medi-Cal, Oregon Medicaid (OHP), and commercial insurance claims.
• Review claims for accuracy, correct coding, and payer-specific requirements.
• Resolve rejected and denied claims, payment discrepancies, and outstanding reimbursements.
• Post and reconcile insurance payments, patient payments, adjustments, and write-offs.
• Manage accounts receivable, aging claims, and outstanding patient balances.
• Collect applicable patient-responsibility payments, including copayments, deductibles, and coinsurance.
• Process private-pay payments and maintain accurate patient financial records.
• Communicate directly with clients regarding billing questions, outstanding balances, invoices, and payment arrangements.
• Prepare and send client statements, invoices, and payment reminders.
• Visit the Sacramento office as needed to collect billing-related mail and prepare and mail client invoices and statements.
• Coordinate with clinicians and administrative staff to resolve billing issues.
• Prepare billing and collections reports for management.
• Maintain accurate records and comply with HIPAA, payer requirements, and applicable billing regulations.

Minimum Qualifications

• At least one year of hands-on billing experience with both Medi-Cal and commercial insurance is required.
• Experience with claims submission, denial resolution, payment posting, accounts receivable, patient collections, and private-pay billing.
• Knowledge of CPT codes, ICD-10 codes, insurance portals, and electronic claims processing.
• Proficiency with electronic health records and practice management systems.
• Strong organizational, communication, and problem-solving skills.
• Ability to work independently, meet daily billing deadlines, and manage fluctuating workloads.
• Ability to communicate professionally with clients regarding financial responsibilities and payments.
• Availability to complete occasional in-person responsibilities in Sacramento.

Preferred Qualifications

• Experience with outpatient behavioral health billing.
• Experience with Oregon Medicaid (OHP).
• Familiarity with TherapyNotes.
• Bilingual proficiency in English and Spanish is strongly preferred but not required.
• Proficiency in Hindi, Punjabi, or Haitian Creole is a plus.

Compensation and Benefits

Hourly Pay Range: $23–$27 per hour

Compensation is based on the organization's established compensation classifications:

• Standard: $23 per hour.
• Culturally Specific: $25 per hour.
• Bilingual: $27 per hour.

Estimated Gross Compensation:

Part-Time – 20 Hours per Month:

• Standard: $460 per month.
• Culturally Specific: $500 per month.
• Bilingual: $540 per month.

Part-Time – 60 Hours per Month:

• Standard: $1,380 per month.
• Culturally Specific: $1,500 per month.
• Bilingual: $1,620 per month.

Potential Full-Time – 40 Hours per Week:

• Standard: $47,840 annually.
• Culturally Specific: $52,000 annually.
• Bilingual: $56,160 annually.

Full-time figures are provided for comparison only. Actual compensation depends on hours worked, before deductions and excluding overtime.

Benefits

• Paid sick leave in accordance with California requirements.
• CalSavers retirement savings options, subject to eligibility.
• Paid training and professional development.
• Primarily remote work with occasional in-office responsibilities.
• Opportunity for increased hours and potential full-time employment.

Learn more about our organization at

Guillaume Marriage and Family Counseling of California, P.C. is an equal opportunity employer.