Revenue Cycle & Reimbursement Specialist

Revenue Cycle & Reimbursement Specialist 3.8 3.8 out of 5 stars Bountiful, UT 84010 Hybrid work $22

• $28 an hour
• Full-time Neurobehavioral Center for Growth 37 reviews $22
• $28 an hour
• Full-time

ABOUT NBCG

Neurobehavioral Center for Growth (NBCG) is a fast-growing, multi-location behavioral health practice in Utah with offices in Salt Lake City, Bountiful, South Ogden, and Ogden. We offer a comprehensive suite of services including psychiatry, medication management, TMS, Spravato/esketamine, ketamine therapy, ABA therapy, neuropsychological testing, and speech therapy. Our mission is to deliver exceptional, accessible care — and we're building the systems and team to do it at scale.

THE ROLE

We're looking for a sharp, detail-oriented Revenue Cycle & Reimbursement Specialist to own the billing and prior authorization function for our psychiatric medication management service line. This is a high-impact role on a team that moves fast and values people who take initiative. You'll work directly with our clinical and operations leadership to reduce claim denials, accelerate reimbursement, manage prior authorizations across payers, and help us build smarter, more automated billing workflows. We're actively investing in AI and automation tools — this role will evolve alongside that infrastructure and offers real opportunity for someone who wants to grow beyond traditional billing.

WHAT YOU'LL DO

Manage end-to-end prior authorization workflows for psychiatric medication management, including E&M codes (99212-99215), add-on psychotherapy codes (90833), and specialty services Submit, track, and appeal insurance claims across commercial payers, Medicare, Medicaid, and Utah-specific plans (BCBS, SelectHealth, EMI Health, Molina, etc.) Own denial management — identify root causes, write appeals, and track resolution rates Verify patient insurance eligibility and benefits prior to appointments Coordinate with clinical providers and front-office staff on documentation requirements to support clean claim submission Maintain accurate records in AdvancedMD (our EHR/PM system) and ensure billing data integrity Support specialty service billing including Spravato/esketamine REMS documentation requirements and TMS prior authorization workflows Identify patterns in denials, underpayments, and payer behavior and surface them to leadership with recommendations Participate in building and QA-ing automated billing workflows as we expand our Keragon + AI automation infrastructure Stay current on payer policy changes, CPT code updates, and CMS fee schedule changes affecting behavioral health reimbursement

WHAT WE'RE LOOKING FOR

Required 2+ years of medical billing or prior authorization experience in a healthcare setting Working knowledge of psychiatric CPT codes, E&M documentation requirements, and behavioral health billing Experience navigating multi-payer environments including commercial insurance, Medicare, and Medicaid Strong written communication skills for appeals, payer correspondence, and internal documentation Organized, deadline-driven, and comfortable managing a high volume of concurrent tasks Proficiency with EHR/practice management systems (AdvancedMD experience a plus) Strongly Preferred Experience with specialty behavioral health billing — TMS, Spravato/esketamine, or ketamine therapy Familiarity with Utah payer landscape (SelectHealth, EMI Health, BCBS of Utah, Molina Medicaid) Experience with prior authorization workflows post-Cigna/Evernorth policy changes for TMS (March 2026) Comfort with or curiosity about automation tools, AI-assisted workflows, or healthcare technology CPC, CPMA, or CBCS certification (or in progress)

COMPENSATION & BENEFITS

$22

• 28/hour depending on experience (full-time, 40 hrs/week) Opportunities for advancement as we scale — this role is expected to grow into a lead or supervisory function within 12-18 months Work alongside a leadership team that is actively investing in AI, automation, and building one of the most operationally sophisticated behavioral health practices in Utah Full-time employees working more than 30 hours per week are eligible for our benefits package after an eligibility and probationary period.

Benefits and Other Offerings (Dependent on full or part time status):

Health Insurance, Vision Insurance, Dental Insurance, Short Term Disability Insurance Retirement Planning :

Before Tax & Roth 401k 3% Match, Vested 100% after 6yrs of employment

Life Insurance:

$25,000 covered completely by NBCG, with additional optional coverage available.

Education:

Capella University Discount:

50% off your first 12-week session, 10% tuition discount on all subsequent sessions

Paid Time Off & Holiday Pay:

10 paid holidays for full-time employees, 5 paid holidays for part-time employees. Additional PTO increasing yearly starting with 2 weeks.

Parental Leave:

Up to 6 Weeks Paid Leave for full-time employees after 12 months of service.

Professional Liability Insurance:

Covered by NBCG 1mil/3mil limits.

WHY NBCG

We're not a typical behavioral health clinic. We're building systems, investing in technology, and growing quickly across multiple service lines. If you want a billing role where you can make a real impact, see your work directly improve outcomes, and grow your skills into the future of healthcare operations — this is the place. At Neurobehavioral Center for Growth (NBCG), we believe that diversity improves our community. We welcome all qualified candidates regardless of gender identity and expression, sexual orientation, ancestry, religion, national origin, age, ethnic identity, and any other status protected by law. From our staff, to our candidates, to our clientele

• we are committed to acceptance and equitable treatment.