Billing Representative — Remote, TX

Every claim paid and every denial overturned is treatment somebody actually receives. You would own the full revenue cycle for residential and detox services — scrubbing claims before they go, appealing the ones that come back, and chasing the ones that go quiet.

• Full time, standard business hours — carriers and internal teams keep them, so you do too.
• Fully remote, from anywhere in Texas.
• An on-call rotation including weekends and holidays may be required; the facilities run 24 hours a day, 365 days a year.
• Occasional travel to Nova facilities around Texas for meetings, training and audits.

• Manage the complete billing lifecycle for residential treatment and detox services.
• Review, audit and scrub claims for accuracy and compliance before submission.
• Submit electronic claims in 837I and 837P formats, and clear clearinghouse rejections.
• Post insurance payments and 835 ERA transactions accurately.
• Investigate denials, find the root cause, and prepare technical and clinical appeals.
• Work the AR — unpaid, underpaid and delayed claims, and the reasons behind them.
• Build strategies that stop the next denial rather than just resolving this one.

• Two to four years of dedicated medical billing and collections experience.
• Billing experience with Residential Treatment Centers or inpatient detox — this one is required, not preferred.
• Electronic claim submission in 837I and 837P, and clearinghouse rejection resolution.
• Payment posting and 835 ERA processing.
• Denial management, appeals, and AR follow-up.
• UB-04 claim forms, and behavioral health revenue codes for residential and detox.
• Reliable internet with a backup connection, and reliable transportation for Texas travel.

• Behavioral health claims and reimbursement processes specifically.

• Health, dental, vision and life cover.
• Generous paid time off.
• Merit-based raises and a route to promotion, reviewed on a schedule rather than on request.
• An employee referral bonus.
• A role measured on outcomes you control — first-pass clean claim rate above 95%, denial resolution time, appeals recovery, 90-day AR and DSO.
• Autonomy: you would work independently, alongside clinical and operational teams rather than inside a billing pool.

Two to four years of dedicated medical billing and collections experience. Billing experience with Residential Treatment Centers or inpatient detox — this one is required, not preferred. Electronic claim submission in 837I and 837P, and clearinghouse rejection resolution. Payment posting and 835 ERA processing. Denial management, appeals, and AR follow-up. UB-04 claim forms, and behavioral health revenue codes for residential and detox.

Reliable internet with a backup connection, and reliable transportation for Texas travel.