Billing Representative-Remote — South Austin, TX

The Billing Representative is responsible for managing the revenue cycle process for residential treatment and detoxification services. This position requires expertise in behavioral health billing, claim submission, payment posting, denial management, and accounts receivable follow-up.

The schedule

• Monday-Friday 8-5 with availability for weekends and holidays.

What you will do

• Essential Functions
• Manage the full medical billing lifecycle for residential treatment and detoxification services.
• Review and scrub claims to ensure accuracy and compliance prior to submission.
• Submit electronic claims using 837I and 837P transaction formats.
• Monitor and resolve clearinghouse claim rejections.
• Post insurance payments and electronic remittance advice (835 ERA) transactions accurately and timely.
• Ensure claims are submitted in accordance with payer guidelines and required clinical documentation timelines.
• Maintain accurate billing records and support documentation.
• Denials & Appeals Management
• Audit denied claims to identify the cause of denial and determine corrective action.
• Interpret payer policies and reimbursement guidelines.
• Prepare and submit timely appeals for both technical and clinical denials.
• Gather and organize supporting documentation necessary for successful appeals.
• Track appeal outcomes and follow up with payers as needed.
• Implement strategies to reduce future denials and prevent revenue loss.
• Accounts Receivable Management
• Monitor outstanding accounts receivable balances.
• Follow up on unpaid or underpaid claims.
• Research reimbursement discrepancies and payment delays.
• Work to reduce aging accounts and improve overall collections performance.
• Maintain detailed documentation of collection activities and payer communications.

What you need

Required

• Physical Residence in Texas, Arkansas or Ohio.
• Required Education & Experience
• Minimum of 2 to 4 years of dedicated medical billing and collections experience.
• Experience billing Residential Treatment Centers (RTC) and/or inpatient detoxification services required.
• Experience handling high-acuity behavioral health claims preferred.
• Knowledge & Skills
• Comprehensive understanding of Revenue Cycle Management (RCM).
• Knowledge of:
• Claim scrubbing
• Electronic claim submission (837I/837P)
• Clearinghouse rejection resolution
• Payment posting (835 ERA)
• Denial management
• Accounts receivable follow-up
• Proficiency with UB-04 claim forms.
• Knowledge of behavioral health revenue codes, including detoxification and residential treatment revenue codes (e.g., 0126–1001).
• Strong understanding of payer policies and reimbursement guidelines.
• Ability to analyze denials and prepare effective appeals.
• Strong attention to detail and organizational skills.
• Excellent problem-solving and analytical abilities.

Preferred, not required

If you hold the credential and the rest is thin, apply anyway. The preferred list is what we would like, not a filter we run.

Where you would work

South Austin — 601 Old Oaks Ranch Road, South Austin, TX 78676. On site, and worth saying plainly: this is a Briarwood Detox Center campus rather than a Briarwood building, so the photographs elsewhere on this site are not of it.

Questions about this role

Equal opportunity

We welcome applicants from every background, including people with lived experience of recovery. Hiring decisions are made on credential, experience and fit for the role. Briarwood Detox Center is operated by Nova Recovery LLC, which is the employer named on the application.