Behavioral Health Billing Specialist

About Us We are a growing group telehealth mental health practice licensed statewide in Virginia, with five clinicians and expanding. We're looking for one experienced, detail-oriented specialist to own our revenue cycle, payer credentialing, and client intake support so our clinicians can focus on clinical care. IMPORTANT: This role is open ONLY to candidates located in the DC/Maryland/Virginia (DMV) area. The work is remote, but we require local candidates for occasional in-person meetings, time zone alignment, and familiarity with regional payers. Proposals from outside the DMV area will be declined. Your Responsibilities Billing & Revenue Cycle (primary — approx. 50%) Submit and track insurance claims (CMS-1500) for outpatient psychotherapy CPT codes (90791, 90834, 90837, etc.) Work denials, rejections, and aging A/R; file appeals and corrected claims Post ERAs/EOBs, reconcile payments, and flag underpayments Verify benefits and eligibility for new clients (copays, deductibles, telehealth coverage) Provide a simple weekly report: claims submitted, paid, denied, outstanding A/R Credentialing & Payer Enrollment (approx. 25%) Complete and maintain CAQH profiles for all clinicians Submit and follow up on payer applications (Anthem, Aetna, Cigna, Optum/UnitedHealthcare, Virginia Medicaid MCOs) Track credentialing status per clinician per payer and escalate delays Handle re-credentialing and demographic updates Intake Support (approx. 25%) Respond to new client inquiries within one business hour during your shift Schedule consultations and intakes; match clients to the right clinician based on specialty and insurance Follow up with warm leads who haven't booked Coordinate with our existing automated intake/reception tools (training provided) Required Qualifications 2+ years of billing experience specifically in behavioral/mental health (not just general medical) Hands-on credentialing experience: CAQH, commercial payers, and Medicaid enrollment Experience with a therapy EHR (SimplePractice, TherapyNotes, or similar) Located in DC, Maryland, or Virginia (be prepared to confirm your city in your proposal) Excellent written and spoken English; warm, professional phone manner Available during Eastern business hours (at minimum 9am–1pm ET daily) Willing to sign a HIPAA Business Associate Agreement (BAA) — required before any PHI access Reliable computer, high-speed internet, and a private, secure workspace Preferred Experience with Headway, Alma, or Grow Therapy platforms Virginia payer experience (Anthem HealthKeepers, Sentara, Aetna Better Health, etc.) Prior work with group practices (multiple clinicians, multiple payer panels) Hours & Pay 30–40 hours/week, long-term ongoing role Rate depending on experience and location Paid trial project to start (see below) Trial Project (Paid) Before ongoing hours begin, you'll complete a paid trial: complete CAQH setup and submit two payer applications for one clinician, and work a batch of 15–20 outstanding/denied claims. This lets us both confirm fit. How to Apply To show you've read this post, start your proposal with the word "TRANQUILITY." Then include: The city and state where you live (DMV area only) Your behavioral health billing experience (payers, EHRs, CPT codes you work with regularly) Two examples of credentialing you've completed start-to-finish (payer + how long it took) Your weekly availability Your hourly rate