We're a new denial-recovery service for behavioral health (therapy) practices. We find the insurance claims practices have had denied, recover what's collectible, and help prevent those denials going forward. We handle the client relationship and the analysis; we're looking for a credentialed biller to be our ongoing partner on the actual claim work.
This starts light and grows. We're early, so volume will be modest at first and scale as we bring on clients. We'd rather be honest about that than oversell it. The right person wants a steady, growing engagement, not a firehose on day one.
What you'd do:
Work denied and rejected behavioral health claims: appeals, corrected claims, and resubmissions.
Diagnose denial reasons (prior auth, eligibility, coding, coordination of benefits, timely filing, and so on) and pursue the ones worth pursuing.
As our client base grows, the role can expand into broader revenue-cycle work (eligibility, claim submission, payment posting, full denial management) for practices that want their full billing handled.
Must have:
Hands-on medical billing experience, ideally with behavioral or mental health claims.
Familiarity with major payers and their portals (Availity, Optum / UnitedHealthcare behavioral, Aetna, Cigna / Evernorth, Medicaid MCOs).
Comfort drafting and filing appeals, not just submitting clean claims.
Willingness to sign a Business Associate Agreement (HIPAA) as a subcontractor before handling any patient data.
Nice to have:
Experience with Illinois payers and Medicaid.
Coding familiarity (CPT and modifiers for therapy services).
The arrangement:
Ongoing contractor relationship, not a one-off project. Work scales with our client load.
Pay is tied to work actually completed, on a per-claim or per-appeal basis (or a percentage of amounts recovered where appropriate). We're open to discussing the structure that works best for you, rather than a fixed hourly rate.
Remote. You set your own hours around claim deadlines.
To apply, please tell us:
Your experience with behavioral or mental health denials specifically.
Which payers and portals you've worked with most.
How you'd prefer to be paid for appeals and resubmission work.
A practice hands you a denied claim that was rejected for timely filing, well past the deadline. How do you decide whether it's worth appealing?