Behavioral Health Billing Administrator

We are seeking an experienced and highly skilled Behavioral Health Billing Administrator to lead and strengthen our revenue cycle operations. This role is essential in improving cash flow, reducing Accounts Receivable (AR), and ensuring timely, accurate reimbursement for behavioral health services. The ideal candidate brings deep expertise in Medicaid, MCO, and commercial payer billing, strong denial management capabilities, and the ability to implement efficient processes that drive financial performance. This position serves as the primary liaison with payers, oversees clean claim submission, analyzes AR and denial trends, implements corrective actions, and provides leadership to billing staff to maintain accuracy, productivity, and compliance.

Key Responsibilities:

Monitor and manage aging Accounts Receivable with a focus on reducing AR days and improving collections.

Analyze AR reports weekly and lead follow-up on claims over 30, 60, 90, and 120 days.

Develop and implement strategies to resolve unpaid, denied, and underpaid claims.

Identify AR trends and root causes; implement corrective action plans.

Ensure accurate, timely filing of clean claims in compliance with payer requirements.

Monitor claim status and manage corrections, resubmissions, and rejected claims.

Review and resolve claim denials; develop denial tracking tools and reports.

Prepare and submit appeals and reconsiderations.

Serve as primary point of contact with Medicaid, DMAS, and MCOs (Aetna, Anthem, UnitedHealthcare, Sentara, Humana).

Collaborate with Provider Representatives to resolve reimbursement or processing issues.

Participate in payer meetings and ensure contract compliance with fee schedules.

Develop revenue cycle policies, procedures, and workflows for improved efficiency.

Train billing staff on payer requirements, denial resolution, and AR follow-up.

Ensure accountability for quality, productivity, and performance standards.

Maintain compliance with Medicaid, DMAS regulations, HIPAA, and MCO requirements.

Ensure documentation accuracy and audit readiness.

Qualifications:

3–5 years of behavioral health billing experience.

Minimum 2 years managing Accounts Receivable.

Strong experience with Medicaid and Managed Care billing.

Demonstrated success with claim denial resolution and appeals.

Knowledge of behavioral health service billing, including:

Mobile Crisis Response

Community Behavioral Health

ASAM Levels of Care

Outpatient therapy

Psychiatry services

Strong understanding of the end‑to‑end revenue cycle.

Experience working directly with MCO Provider Representatives (preferred). 

Experience with Virginia Medicaid (DMAS) (preferred). 

Experience with EHR systems (preferred).