Behavioral Health Biller
Company Description
CRBHS was founded by individuals with lived experience of substance use and mental health challenges who sought recovery and a meaningful path forward. Guided by a shared vision, the organization was created to provide support, resources, and encouragement to others facing similar obstacles. CRBHS is committed to challenging societal prejudice and stigma by fostering understanding, empowerment, and inclusion. Through the strength of community and connection, the team helps people build fulfilling lives and inspires hope, healing, and positive change. The organization maintains a person-centered approach that respects the dignity and potential of every individual served. Role Description The Behavioral Health Biller is a full-time remote role responsible for managing end-to-end billing activities for behavioral health services. Day-to-day tasks include preparing and submitting accurate claims, verifying client coverage, and ensuring services are properly coded in compliance with payer and regulatory requirements. The role involves tracking claim status, resolving denials, reconciling payments, and communicating with insurance companies, internal clinical staff, and company leadership regarding billing inquiries. The Behavioral Health Biller maintains detailed records, supports monthly reporting, and collaborates with the finance team to help optimize revenue cycle processes. This position requires consistent attention to detail, adherence to confidentiality standards, and a commitment to supporting CRBHS’s mission and values.
Responsibilities
Verify member eligibility, insurance coverage, authorizations, and coordination of benefits. Prepare, review, and submit claims for services submitted for billing using myEvolv and RevConnect. Monitor claim acceptance, clearinghouse responses, and payer status. Investigate and resolve billing errors, rejections, denials, underpayments, and payment discrepancies. Prepare and submit corrected claims, adjustments, reconsiderations, and appeals within payer deadlines. Post payments and adjustments, reconcile accounts, and follow up directly with payers on unpaid claims and aging accounts receivable through final resolution. Maintain accurate member, insurance, provider, payer, and billing information in myEvolv. Review claim information for coding, modifiers, and payer requirements; coordinate necessary documentation corrections with clinical staff. Troubleshoot myEvolv billing workflows and RevConnect processing issues, working directly with vendor support when needed. Assist with billing configuration, testing, and workflow improvements. Prepare billing and accounts receivable reports and provide supporting records for audits and regulatory reviews. Perform other billing and revenue cycle duties necessary to support the organization’s operations.
Qualifications
Minimum of three (3) years of recent, continuous, hands-on behavioral health billing experience using Netsmart myEvolv. Candidates must currently use myEvolv as their primary and exclusive electronic health record for billing work. This is mandatory; applicants who do not meet this requirement will not be considered. Direct experience using RevConnect for claim submission, rejection resolution, claim tracking, and remittance workflows. Demonstrated ability to independently perform all billing and revenue cycle functions. Strong working knowledge of myEvolv billing functionality and AHCCCS and MCO billing requirements. Strong organizational skills, attention to detail, and ability to manage multiple priorities while meeting deadlines. Ability to work independently and collaborate effectively with leadership, clinical staff, and finance. Minimum age of 21 years. Commitment to Diversity Colorado River Behavioral Health System is committed to creating a diverse and inclusive environment. We welcome candidates who bring diverse perspectives and experiences to join our team, contributing to the growth and innovation of our services.