Behavioral Health RCM Lead – PHP/IOP Billing & Collections (US Client, Remote)

A US-based outpatient behavioral health provider (PHP/IOP levels of care) needs a hands-on Revenue Cycle lead to own billing and collections end-to-end. You'll be the person keeping cash flow healthy — clean claims out the door, denials chased down, and AR aging under control — for a growing outpatient treatment program.

WHAT YOU'LL OWN

• Full-cycle billing for PHP and IOP claims: charge entry, coding review, and timely claims submission (UB-04/CMS-1500) to commercial payers
• Insurance verification and authorization tracking for new and continuing clients, including concurrent review submissions
• Denial management: research, appeal, and resubmit denied/underpaid claims, tracking root causes to reduce recurring denials
• Payment posting and reconciliation against EOBs/ERAs
• AR aging oversight — proactively work claims past 30/60/90 days rather than waiting on reports
• Payer follow-up calls and portal work across commercial behavioral health payers
• Monthly reporting to leadership on collections, denial rates, AR days, and net revenue trends
• Coordination with clinical/admin staff to fix documentation or authorization gaps upstream before they cause denials

WHAT YOU BRING

• 3+ years in US medical billing/RCM, with direct experience in behavioral health (PHP/IOP or SUD treatment billing specifically — not just general medical billing)
• Working knowledge of behavioral health CPT/HCPCS codes (H0015, S9480, etc.) and payer-specific PHP/IOP requirements
• Experience with a billing/EHR platform such as Kipu, CollaborateMD, TheraNest, or similar
• Comfortable owning denial appeals independently, not just flagging them
• Strong written English for payer correspondence and internal reporting
• Reliable overlap with US business hours

NICE TO HAVE

• Experience managing or mentoring a junior biller
• Familiarity with utilization review/concurrent authorization workflows
• Google Sheets/Excel fluency for building your own AR tracking views

SCREENING QUESTIONS (please answer in your application)
1. How many years of hands-on PHP/IOP (or SUD) billing experience do you have, and which platform(s) did you bill on?
2. Walk me through how you'd work a claim that's been denied for "authorization not on file."
3. What was your AR-over-90-days percentage in your most recent role, and how did you keep it there?
4. What US time zone hours can you reliably overlap?
5. What's your expected monthly rate?