Billing Representative - Behavioral Health Revenue Cycle

Job Description

Job Description

Billing Representative – Behavioral Health Revenue Cycle

Remote (Texas Residents Only) | Full-Time | $18–$22 per Hour + Benefits

Turn Your Billing Expertise Into a Career That Changes Lives

At Nova Recovery Center, every claim paid, every denial overturned, and every dollar collected helps provide life-changing treatment for individuals and families impacted by substance use disorders.

We're looking for an experienced Billing Representative who understands the complexities of behavioral health billing and wants to be part of a mission-driven organization where their work truly matters. If you have experience billing Residential Treatment Center (RTC) and/or Detox services and enjoy solving reimbursement challenges, this is an opportunity to make a measurable impact while working remotely with a supportive and growing team.

Why You'll Love Working at Nova Recovery Center

Work remotely from anywhere in Texas

Competitive pay of $18–$22 per hour

Comprehensive benefits package for full-time employees

Join a respected organization dedicated to helping people recover and rebuild their lives

Work independently while collaborating with experienced clinical and operational teams

Opportunity to become a key contributor to the organization's financial success and growth

What You'll Do

As a Billing Representative, you will manage the full revenue cycle for residential treatment and detoxification services, ensuring accurate billing, timely reimbursement, and effective denial resolution.

Revenue Cycle Management

Manage the complete billing lifecycle for Residential Treatment Center (RTC) and Detox services.

Review, audit, and scrub claims to ensure accuracy and compliance prior to submission.

Submit electronic claims utilizing 837I and 837P transaction formats.

Monitor and resolve clearinghouse claim rejections.

Accurately post insurance payments and 835 ERA transactions.

Maintain complete billing documentation and records.

Ensure claims are submitted according to payer requirements and documentation standards.

Denials + Appeals Management

Investigate denied claims and identify root causes.

Interpret payer policies and reimbursement guidelines.

Prepare and submit technical and clinical appeals.

Gather supporting documentation to maximize reimbursement recovery.

Track appeal outcomes and follow up with insurance carriers.

Develop proactive strategies to reduce future denials and prevent revenue leakage.

Accounts Receivable Management

Monitor outstanding accounts receivable balances.

Follow up on unpaid, underpaid, and delayed claims.

Research reimbursement discrepancies and payment delays.

Reduce aging accounts and improve collections performance.

Maintain detailed records of payer communications and collection efforts.

What We're Looking For

Required Experience

Minimum of 2–4 years of dedicated medical billing and collections experience.

Experience billing Residential Treatment Centers (RTC) and/or inpatient detoxification services is required.

Experience with behavioral health claims and reimbursement processes preferred.

Knowledge + Skills

Strong understanding of Revenue Cycle Management (RCM).

Experience with claim scrubbing and claim quality review.

Knowledge of electronic claim submission (837I and 837P).

Experience resolving clearinghouse claim rejections.

Proficiency with payment posting and 835 ERA processing.

Experience with denial management and appeals.

Accounts receivable follow-up and collections expertise.

Proficiency with UB-04 claim forms.

Knowledge of behavioral health revenue codes, including residential treatment and detox services.

Strong analytical, problem-solving, and organizational skills.

Exceptional attention to detail and accuracy.

Benefits Available to Full-Time Employees

At Nova Recovery Center, we believe in taking care of the people who take care of our mission. Eligible full-time employees may receive:

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off (PTO)

Life Insurance

Employee Referral Bonus Opportunities

Benefits are subject to eligibility requirements and plan terms.

How Success Is Measured

This role directly impacts the financial health of the organization and is evaluated through key performance metrics, including:

First-Pass Clean Claim Rate greater than 95%

Timely denial resolution

Appeals recovery effectiveness

Reduction of 90+ day accounts receivable

Achievement of Days Sales Outstanding (DSO) goals

Prevention of revenue leakage through billing accuracy and proactive follow-up

Work Environment

This is a fully remote position; however, applicants must reside within the State of Texas.

The role requires daily use of billing software, electronic health records, payer portals, and clearinghouse systems.

Remote employees are responsible for maintaining reliable internet service and a backup connectivity solution, such as a hotspot, to ensure uninterrupted productivity.

Schedule

This is a full-time position requiring availability during standard business hours to communicate with insurance carriers and internal stakeholders.

Participation in an on-call rotation, including weekends and holidays, may be required.

Travel Requirements

While this position is primarily remote, employees may occasionally be required to travel to Nova Recovery Center facilities throughout Texas for face-to-face meetings, training sessions, team collaboration events, audits, operational support, and other business-related activities.

Because Nova Recovery Center operates treatment facilities 24 hours a day, 365 days a year, additional travel to other company locations may be required based on business needs.

Reliable transportation and the ability to travel within Texas when requested are required.

Join a Team That Makes Recovery Possible

At Nova Recovery Center, your work goes beyond billing. Every successful claim, appeal, and collection helps ensure that individuals seeking treatment receive the care and support they need to build a healthier future.

If you're an experienced billing professional looking for a rewarding remote opportunity where your expertise is valued and your work has purpose, we encourage you to apply today.