Revenue Cycle & Billing Specialist – Behavioral Health

IMMEDIATE OPENING – NOW HIRING

Position Overview:

Guillaume Counseling Services, P.C. is seeking an experienced, detail-oriented, and dependable Revenue Cycle & Billing Specialist to support our growing outpatient behavioral health practice in Portland, Oregon.

This position is responsible for managing insurance claims, payment posting, denial resolution, accounts receivable, client billing, collections, and other revenue cycle activities. We are seeking a professional who understands behavioral health billing, demonstrates strong attention to detail, and can independently research and resolve reimbursement issues while maintaining accurate financial records. Experience with Oregon Health Plan (OHP), Oregon coordinated care organizations (CCOs), and commercial insurance billing is strongly preferred. The ideal candidate is organized, accountable, resourceful, and comfortable collaborating with clinicians, administrative personnel, insurance representatives, and organizational leadership. This is a part-time, hourly W-2 position available for immediate hire, with opportunities for additional hours as organizational needs increase.

Schedule and Work Arrangement:

Employment status: Part-time, hourly W-2.
Initial schedule: Approximately 20–60 hours per month.
Work arrangement: Hybrid, primarily remote.
Office location: 4850 SW Scholls Ferry Road, Portland, Oregon.
Training and onboarding: Conducted remotely through scheduled video meetings and organizational systems.
In-person responsibilities: Occasional visits to the Portland office as needed.
Availability: Weekdays during scheduled business hours.

The position requires consistent availability for claims processing, insurance follow-up, billing deadlines, and communication with organizational leadership.

Compensation and Earning Potential:

Hourly Compensation: $23–$27/hour, based on experience and qualifications.
Estimated Monthly and Annual Earnings:
- 20 hours/month: $460–$540/month | $5,520–$6,480/year.
- 40 hours/month: $920–$1,080/month | $11,040–$12,960/year.
- 60 hours/month: $1,380–$1,620/month | $16,560–$19,440/year.

All hours worked are paid, including billing activities, claims follow-up, documentation, training, meetings, and assigned administrative responsibilities. Monthly and annual earnings are estimates based on the stated hourly rates and consistent monthly hours. Actual earnings depend on hours worked and qualifications.

Benefits and Professional Support:

W-2 employment with competitive hourly compensation.
Paid sick leave in accordance with Oregon requirements.
Retirement savings through OregonSaves and a 401(k) plan, subject to eligibility.
Primarily remote work with occasional in-person responsibilities.
Structured onboarding and paid training.
Administrative leadership support.
Access to organizational technology, electronic health records, and billing systems.
Opportunities for professional growth and advancement.
Medical, dental, and vision insurance if eligible for full-time benefits in the future.

Minimum Qualifications

High school diploma or equivalent.
At least one year of professional medical billing or revenue cycle experience involving Medicaid or commercial insurance.
Experience preparing, submitting, and following up on insurance claims.
Familiarity with Oregon Health Plan (OHP) billing requirements or demonstrated experience with comparable Medicaid programs.
Knowledge of CPT codes, ICD-10 diagnosis codes, modifiers, and insurance reimbursement procedures.
Experience reviewing explanations of benefits (EOBs) and electronic remittance advice (ERAs).
Experience researching rejected, denied, and unpaid claims.
Experience with payment posting, accounts receivable, and outstanding balance follow-up.
Familiarity with electronic health records, clearinghouses, and electronic claims processing.
Understanding of HIPAA and confidentiality requirements.
Proficiency with Microsoft Excel or Google Sheets.
Strong organizational skills, attention to detail, and ability to meet deadlines.
Excellent written and verbal communication skills.
Ability to independently investigate billing discrepancies and identify appropriate solutions.
Demonstrated integrity, professionalism, accountability, and sound judgment.
Ability to work independently while maintaining regular communication with leadership and administrative personnel.
Ability to perform occasional in-person responsibilities at the Portland office.

Preferred Qualifications:

Associate degree or higher in medical billing, healthcare administration, health information management, business administration, or a related field.
Two or more years of professional medical billing or revenue cycle experience.
Direct experience with Oregon Health Plan (OHP), Oregon Medicaid, and coordinated care organizations (CCOs).
Experience with CareOregon, Health Share of Oregon, Trillium Community Health Plan, PacificSource Community Solutions, or other Oregon Medicaid plans.
Experience billing outpatient mental health and behavioral health services.
Experience with commercial insurance plans and behavioral health reimbursement requirements.
Familiarity with TherapyNotes or comparable behavioral health electronic health record systems.
Experience resolving complex denials, appeals, coordination-of-benefits issues, and underpayments.
Experience managing client responsibility balances, private-pay accounts, and collections.
Experience preparing accounts receivable aging reports and revenue cycle performance reports.
Knowledge of payer-specific billing rules, timely filing requirements, and authorization-related claim issues.

Key Responsibilities:

Insurance Claims Processing and Submission:

Prepare, review, and submit accurate insurance claims for outpatient behavioral health services.
Verify client, provider, payer, diagnosis, procedure, and service information before submission.
Submit claims electronically through approved billing systems and clearinghouses.
Monitor claim acceptance, rejection, and processing status.
Correct rejected claims and resubmit them within applicable filing deadlines.
Maintain accurate records of submitted, corrected, and outstanding claims.
Follow payer-specific requirements for OHP, CCOs, and commercial insurance plans.
Identify and address claim submission issues that could delay reimbursement.

Payment Posting and Reconciliation:

Review EOBs, ERAs, and insurance payment reports.
Post insurance payments, adjustments, and client responsibility amounts accurately.
Identify discrepancies between billed amounts, allowed amounts, and actual reimbursements.
Research underpayments, overpayments, and incorrect payment allocations.
Review coordination-of-benefits and secondary insurance payment issues.
Reconcile billing system payment records and reports.
Coordinate with the Full-Charge Bookkeeper regarding deposits, revenue reconciliation, and financial discrepancies.
Maintain documentation supporting payment corrections and adjustments.

Denial Management and Appeals:

Monitor rejected, denied, and unpaid insurance claims.
Investigate denial reasons and determine appropriate corrective actions.
Prepare corrected claims, reconsideration requests, and appeals.
Contact insurance representatives to resolve outstanding reimbursement issues.
Track filing deadlines, appeal deadlines, and payer follow-up requirements.
Identify recurring denial patterns and recommend improvements.
Escalate unresolved or complex reimbursement concerns to leadership.

Accounts Receivable and Collections:

Monitor outstanding insurance and client balances.
Review accounts receivable aging reports and prioritize follow-up activities.
Contact payers regarding overdue claims and outstanding reimbursements.
Coordinate appropriate follow-up on client copayments, deductibles, coinsurance, and other permitted patient responsibility amounts.
Support client billing statements, payment reminders, and outstanding-balance resolution.
Assist with private-pay billing and payment tracking.
Address client billing inquiries professionally and confidentially.
Follow applicable Medicaid restrictions, payer contracts, organizational policies, and legal requirements when addressing client financial responsibility.
Identify and report accounts requiring leadership review.

Insurance Eligibility and Authorization Coordination:

Review eligibility and benefits information when necessary to resolve billing concerns.
Identify coverage discrepancies, payer changes, and authorization-related claim issues.
Coordinate with intake and administrative staff regarding insurance verification and authorization requirements.
Communicate billing-related documentation concerns through approved organizational channels.
Identify provider enrollment, credentialing, or payer configuration issues affecting claims.
Coordinate with leadership and designated personnel to resolve payer-related billing problems.
Maintain familiarity with applicable OHP, CCO, and commercial insurance billing requirements.

Revenue Cycle Reporting and Performance Monitoring:

Prepare regular reports on claims submitted, payments received, outstanding balances, denials, and accounts receivable.
Monitor aging claims and identify accounts requiring additional follow-up.
Track recurring reimbursement delays and claim processing issues.
Identify opportunities to improve billing accuracy, reimbursement timelines, and collections.
Assist leadership with reviewing revenue cycle performance.
Recommend improvements to billing procedures and internal workflows.
Maintain accurate records supporting financial reporting and revenue reconciliation.

Billing Compliance and Documentation:

Ensure claims are submitted consistently with documented services and applicable payer requirements.
Follow organizational policies, HIPAA, and confidentiality standards.
Maintain complete documentation of claim corrections, appeals, adjustments, and payer communications.
Identify duplicate claims, incorrect coding, and other potential billing errors.
Refer documentation or clinical coding concerns to the appropriate authorized personnel.
Follow applicable Oregon Medicaid, OHP, CCO, and commercial insurance billing requirements.
Report suspected billing irregularities or compliance concerns to leadership.
Maintain accurate and organized electronic billing records.

Collaboration and Administrative Responsibilities:

Collaborate with intake coordinators, clinicians, the Full-Charge Bookkeeper, and organizational leadership.
Participate in scheduled billing meetings, training, and performance reviews.
Communicate professionally with insurance companies, clients, and internal team members.
Complete assigned billing activities within established deadlines.
Maintain organized records of follow-up actions and unresolved billing issues.
Support development and improvement of standardized revenue cycle procedures.
Perform other duties consistent with the Revenue Cycle & Billing Specialist position.

Role Boundaries:

The Revenue Cycle & Billing Specialist is responsible for insurance claims, payment posting, denials, appeals, accounts receivable, client balances, collections, and related revenue cycle responsibilities.
The position does not include full-charge bookkeeping, general ledger maintenance, payroll reconciliation, corporate financial statements, or tax preparation.
Those responsibilities remain with the Full-Charge Bookkeeper and designated accounting professionals.
The Revenue Cycle & Billing Specialist collaborates with the bookkeeping function to support accurate revenue reconciliation and financial reporting.
Professional Growth and Advancement
Guillaume Counseling supports professional development and opportunities for career advancement.
As the organization grows, the Revenue Cycle & Billing Specialist may assume additional responsibilities involving revenue cycle reporting, payer coordination, billing process improvement, and specialized reimbursement activities.
Additional hours and advancement opportunities may become available based on organizational needs, demonstrated performance, and operational growth.

Apply Today:

Immediate Opening – Now Accepting Applications:

We welcome applications from experienced medical billing and revenue cycle professionals who are passionate about accurate claims processing, timely reimbursement, financial accountability, and supporting access to behavioral health services.

We are particularly interested in candidates who demonstrate strong insurance billing knowledge, attention to detail, independent problem-solving, confidentiality, reliability, organizational ability, and a commitment to accurate revenue cycle management.

To apply, please submit both a resume and a cover letter outlining your medical billing experience, familiarity with Oregon Health Plan (OHP) or other Medicaid billing programs, commercial insurance experience, relevant qualifications, and interest in joining our team. This position is available for immediate hire, with the start date coordinated upon successful completion of the hiring and onboarding process.

To learn more about our organization and services, visit https://www.guillaumecounseling.com.

Guillaume Counseling Services, P.C. is an equal opportunity employer. All qualified applicants will receive consideration in accordance with applicable employment laws.

Guillaume Counseling Services, P.C.

Revenue Cycle & Billing Specialist – Behavioral Health

About the Job