Billing Account Manager

Summary

Join Rethink Behavioral Health, a leading provider of online behavioral health resources, as a Billing Account Manager! This remote position (available in select states) focuses on overseeing customer accounts, ensuring accurate billing for therapy sessions, and working with insurance companies for successful claim generation and reimbursement. You will manage the full revenue cycle management (RCM) process for assigned clients, troubleshoot customer concerns, and maintain HIPAA compliance. The role requires experience in ABA billing, account management, and working with major insurance companies and Medicaid programs. We offer a generous benefits package including PTO, paid holidays, health benefits, and a 401k match.

Requirements

• Bachelor’s degree in related field
• 2-3 years of experience in billing for ABA, speech therapy, occupational therapy and physical therapy
• 1-2 years of account management experience
• Experience working directly with both major commercial insurance companies as well as state Medicaid programs
• EXCEPTIONAL attention to detail, critical thinking, and excellent communication with clients and insurance companies
• Experience using Kareo Billing software

Responsibilities

• Ensure strict HIPPAA-compliant confidentiality with all client-related data
• Review & interpret payor contracts for customers
• Manage full RCM for assigned client accounts
• Evaluate, troubleshoot, and follow-up on customer concerns
• Review customer account reports and follow up to ensure any flags/concerns are notated pro-actively
• Facilitate regular customer meetings
• Research specific payor billing rules as needed and update/maintain internal payor database
• Review client billing documentation to ensure claims are submitted based on payor requirements
• Create claims and patient statements
• Submit claims electronically for primary and secondary payors
• Collecting for services using billing software
• Follow up on rejections, denials, and any outstanding claims
• Submit corrected claims as needed
• Post payments and maintain A/R
• File appeals to insurance and to insurance commissioner as needed
• Stay informed about Payor and Industry Billing rules
• Assist Billing Manager to train, direct, develop and evaluate new staff
• Develop and perform quality assurance audits to ensure timelines for billing are being met
• Measure and monitor key metrics related to work performance
• Foster a positive work environment for colleagues

Preferred Qualifications

• CPB or other professional billing designation
• Proficient using and fluent in Microsoft Suite (Outlook, Excel, Word)

Benefits

• PTO after a 90-day introductory period
• Paid Holidays with an additional (1) Floating Holiday
• Generous Health, Dental & Vision benefits package
• 401k + Matching