Billing Consultant

EPIC Health Partners is seeking an experienced and detail‑oriented Billing Consultant to support the effectiveness and long‑term stability of our revenue cycle operations. The Billing Consultant will support the behavioral health organization by stabilizing and improving revenue cycle performance. In this role, the consultant will use their billing experience to improve workflows, support accurate claim submission, and help the organization operate smoothly within payer guidelines.

• Manage accounts receivable, including review, follow‑up, and recovery of outstanding balances.
• Resolve managed care payment issues to ensure accurate and timely reimbursement.
• Engage directly with provider network managers to address billing, contracting, and payment concerns.
• Design and implement sustainable processes that support clean, compliant claim submission.
• Serve as a subject‑matter expert in behavioral health billing.
• Provide expertise in payer contracting nuances and reimbursement expectations.
• Lead denial prevention strategies and support related process improvements.

• Minimum 5–7 years of healthcare billing experience in Virginia, with a strong focus on behavioral health.
• Proven expertise in accounts receivable management and AR recovery.
• Demonstrated experience working directly with managed care organizations and provider network managers in Virginia.
• In‑depth knowledge of Medicaid, Medicare, and commercial payer billing requirements.
• Strong understanding of authorizations, denials, appeals, and contract reimbursement terms.