** So excited to meet you!! To apply, please read the job description and application instructions below. You may also apply directly through our website: https://secondgrowthcounseling.com/join-the-team/billing-specialist/
♡ We are hiring an experienced Mental Health Billing Specialist to support the delivery of our professional therapeutic services through accurate and timely billing, responsive client care, and thoughtful collaboration across our administrative and clinical teams. ♡
This position is for employee status at part-time (min 20 hours a week, up to max 25) with full benefits and includes an expected hourly compensation range between $30 – $34 an hour, dependent on training, experience, and bilingual ability. We are hiring those local to the Portland-metro area who can work remote or hybrid and are able to start training between Sept 1-30th of 2026!
► Ideal candidates for our experienced mental health billing specialist role are looking for a long-term, part-time career fit with a workplace that empowers their love of spreadsheets, organizing accounts and running the numbers to deliver exceptional care to clients and with clinicians. The ideal candidate has advanced training and experience in mental health billing, credentialing, claims processing, CPT coding, and Oregon Medicaid billing practices. We are a great environment for professionals who are team-oriented, communicative, and self-reflective with a desire to learn and contribute alongside a diverse, supportive, hope-filled team.
✦ Position Overview ✦
The Billing Specialist is a vital and valued role within our practice. We believe excellent mental health care depends not only on skilled clinicians, but also on strong systems, thoughtful administration, and a team that communicates well as we take responsibility for the work we share. This role brings technical expertise, strong professional skills, and a collaborative posture to help ensure communication is accurate and respectful, our operational systems are reliable, and revenue is consistently managed with initiative and follow-through. Day-to-day responsibilities include insurance verification, claims submission, payment posting and reconciliation, client accounts and balances, denial management, and billing-related communication with clients, clinicians, and insurance carriers. This role is also intentionally cross-trained to support Client Care Coordination on Fridays, assisting in scheduling, responding to client inquiries, onboarding new clients, and giving the first experience of the practice to potential clients. This position works closely with the Practice Director, Client Care Coordinator, Practice Manager, and clinical team.
$ COMPENSATION
$30-$34 per hour, depending on experience, qualifications, and bilingual ability. This position is eligible for full benefits offered to qualifying employees.
➳ BENEFITS
Most benefits are accessible after the 3-month onboarding, probationary period, including health insurance, paid time off, and professional development. 401k and matching contributions begin at 6 months of employment.
➳ BENEFITS INCLUDE:
- Collaborative, creative, supportive team environment
- Competitive and stable hourly compensation, paid every other week through direct deposit
- 90% covered Employee Health Insurance through MODA’s abundant and accessible network (+ basic vision)
- Retirement plan with up to 4% match
- Dental Insurance
- Funding and support to pursue additional relevant training
- Workplace flexibility to work remote and at times, in-person
- Administrative team for cross-training, coverage, connection, and collaboration
- Flexibility in work hours (75% within typical business operations)
- Additional compensation bonuses shared annually
- Additional benefits added with company growth
WHAT YOU’LL DO: DUTIES & RESPONSIBILITIES
► Billing:
- Manage the full behavioral-health billing cycle from claim preparation through payment and reconciliation.
- Submit and monitor insurance claims through SimplePractice and payer portals.
- Review prepared, scrubbed, rejected, and denied claims and take appropriate corrective action.
- Investigate unpaid, delayed, rejected, and denied claims and follow through with insurance carriers until resolution.
- Post and reconcile insurance payments, including identifying and resolving unallocated or misapplied payments.
- Monitor client balances and communicate with clients regarding billing questions, insurance changes, and outstanding balances in a professional and compassionate manner.
- Review accounts for coding, authorization, eligibility, payment, and documentation issues that may affect reimbursement.
- Maintain accurate billing records and timely follow-up systems.
- Conduct regular audits of claims, payments, client balances, and account activity.
- Identify recurring billing problems and recommend solutions.
► Client Care Coordination Coverage: As part of the position, you will be cross-trained to provide Client Care Coordination coverage, typically on Fridays. This cross-training is intended to create continuity of client care and administrative coverage, while giving the Billing Specialist a broader understanding of the client experience and the operations of a mental health practice.
- Responding to client inquiries by phone, secure messaging, and email.
- Scheduling and rescheduling client appointments.
- Supporting new-client onboarding and helping clients understand next steps in beginning services.
- Coordinating intake and scheduling information between clients and clinicians.
- Supporting clients with administrative questions and helping connect them with the appropriate member of the team.
- Maintaining accurate scheduling and client information in SimplePractice and related systems.
- Communicating with clinicians regarding scheduling needs, new client referrals, and onboarding.
- Providing warm, professional, and responsive customer service.
- Following established workflows for referrals, new-client intake, scheduling, and communication.
- Providing coverage for the Client Care Coordinator during planned absences or other periods of need.
► Insurance Verification & Credentialing:
- Verify insurance benefits and eligibility for clients as needed.
- Maintain working knowledge of commercial insurance and Medicaid billing requirements.
- Monitor payer requirements, changes, and policies that affect the practice.
- Coordinate provider credentialing and re-credentialing activities, including CAQH and payer enrollment processes.
- Track credentialing applications, renewals, expirations, and outstanding requests.
- Communicate with insurance representatives and payer representatives to resolve billing and credentialing issues.
► Auditing, Reporting & Systems Improvement:
- Prepare regular billing, payment, insurance, and accounts-receivable reports with our templates.
- Track key revenue-cycle metrics and identify trends.
- Develop and maintain billing procedures, workflows, templates, checklists, and audit systems.
- Recommend improvements that increase accuracy, efficiency, reimbursement, and consistency.
- Help create and maintain administrative documentation as practice systems evolve.
- Participate in special projects and operational improvements as needed.
► Team Collaboration:
- Serve as a billing and administrative resource for clinicians and staff.
- Communicate clearly and respectfully with clinicians when documentation, coding, scheduling, or other issues affect billing or client care.
- Work collaboratively with the Practice Manager, Client Care Coordinator, Director, and other administrative team members.
- Participate in weekly team, administrative, billing, and supervisory meetings as applicable.
- Provide timely updates when an issue requires additional support, decision-making, or escalation.
- Contribute to a team culture characterized by accountability, direct communication, curiosity, and mutual respect.
► Confidentiality & Compliance:
- Maintain strict confidentiality of protected health information and comply with HIPAA and organizational privacy and security policies.
- Maintain secure practices when working remotely.
- Complete required HIPAA, data security, and administrative training.
- Maintain accurate and timely client and billing records.
✓ QUALIFICATIONS
- At least 2 years of behavioral health or mental health billing experience.
- Experience with insurance verification, claims submission, payment posting, denial management, and accounts receivable follow-up.
- Working knowledge of CPT and ICD-10 coding and common behavioral-health billing practices.
- Experience working with commercial insurance and Medicaid.
- Experience using an EHR and insurance payer portals.
- Strong working knowledge of Google Workspace and spreadsheets.
- Excellent attention to detail and follow-through.
- Ability to independently organize and prioritize work without losing track of deadlines or recurring responsibilities.
- Strong written and verbal communication skills.
- Ability to communicate professionally and compassionately with clients, clinicians, administrative staff, and insurance representatives.
- Ability to identify problems, investigate their cause, and determine when an issue can be resolved independently versus when it should be escalated.
- Commitment to confidentiality and HIPAA compliance.
- Ability to work effectively both independently and as part of a small multidisciplinary team.
- Reliable, secure, confidential, and non-distracting remote work environment.
- Ability to work a minimum of 20 hours per week, with regular availability during business hours, Monday–Friday, 9:00 a.m.–5:00 p.m.
- Availability to provide Friday Client Care Coordination coverage as part of the regular workweek.
- Ability to occasionally work up to a max of 25 hours in a week when additional Client Care Coordination coverage is needed.
- Availability to travel to complete necessary local administrative tasks, such as mail collection and bank deposits.
- Successful completion of a background check.
Optional but Preferred!
- Experience in billing for a mental health group practice or behavioral health agency in Oregon.
- Familiarity using SimplePractice EHR (electronic health records).
- Recent claim processing with Oregon Medicaid, specifically CareOregon and Trillium (2026 procedures).
- Success with provider credentialing and payer enrollment.
- Upkeep in provider or practice portfolios with CAQH ProView, now DataSpring.
- Experience with ERA/EFT enrollment and reconciliation.
- Demonstrated skill-set for creating billing reports, dashboards, or other operational metrics.
- Practice with client scheduling, intake coordination, and behavioral-health customer service.
- Medical billing or behavioral-health billing certification such as CPB or CMRS.
- Experience developing administrative procedures, workflows, or internal documentation.
- Bilingual Spanish proficiency in written and oral communication, certified through ALTA Language Services upon hiring.
✧ THE PERSON WE’RE LOOKING FOR: The skills of the job are important – and how the work happens among our team members is equally important. Our team values the ecosystem we co-create together and we hold the experience of clients, staff, and operations all together as a collective priority. Our next Billing Specialist would, too. The person who thrives in this position will likely be someone who will:
- Can shift comfortably between detail-oriented billing work and warm, client-facing administrative support.
- Notices when something doesn’t make sense and investigates it rather than dismisses it.
- Can manage repetitive responsibilities without becoming careless.
- Takes ownership of problems rather than waiting for someone else to notice them.
- Is comfortable asking questions when information is unclear.
- Can receive feedback and adjust without becoming defensive.
- Communicates directly and respectfully when something needs to be corrected.
- Understands that billing and scheduling errors affect clients, clinicians, and the financial health of the practice.
- Enjoys creating order and improving systems.
- Takes confidentiality seriously.
- Follows through on commitments.
- Is comfortable working in a small organization where processes are continually being refined.
This position may NOT be the right fit for you if:
- You are interested in learning the role of a biller and have not done this before.
- You are not well accustomed to mental health or Medicaid billing.
- You’re looking for an independent contractor position, a full-time position, or to work a schedule outside of typical business hours.
- You prefer to work fully independently and separately, without collaborative accountability and teamwork.
- You don’t find yourself excited about numbers, patterns, spreadsheets, data, or being on hold with insurance for 2 hours. Just kidding, we hate that last part, too.
★ This position could be a great fit for you if:
- You resonate with Second Growth Counseling’s mission, vision, and values.
- You feel energized by helping others in a team and contributing to the depth, identity, and impact of the practice.
- You actively hold a social justice orientation, live with dedication to anti-racist, inclusive, and anti-oppressive practices, and are engaged in the ever-ongoing learning journey of humbling, personal growth.
- You are self-motivated, driven, and thrive on the ability to apply your creative grit to tough situations.
- You are able to engage in the mutual exchange of direct and constructive feedback with courage, compassion, and accountability.
- You are looking for the opportunity to be involved in something bigger than yourself to make a difference in the lives of colleagues, clients, and community members.
- You desire that take-home feeling of knowing it’s ok to be off and resting, you’ve done meaningful work, and you’ve made a difference in the lives of colleagues, clients, and community members that you’re connected with.
SCHEDULE & WORK ENVIRONMENT
This is a W-2, part-time, non-exempt employee position that operates primarily as remote, with occasional in-person responsibilities in the Portland area. This role typically uses their own devices with our HIPAA-secure platforms. Use of our beautiful office space at our two locations in inner and outer SE PDX is also occasionally available for on-site visits, meetings and work days.
The typical schedule is 20 hours a week, distributed across at least 4 weekdays, after onboarding. The max hours per week is up to 25. Approximately 75% or more of scheduled hours must occur during regular business hours, Monday – Friday, 9am-5pm. Fridays will typically include Client Care Coordination coverage.
❤ WHY JOIN SECOND GROWTH ❤
- This position offers the opportunity to join a small, collaborative mental health practice where administrative work is viewed as an essential part of excellent client care, not simply a back-office function.
- You will have meaningful responsibility, access to leadership, and an opportunity to help shape the systems that support the practice as we continue to grow.
- You’ll also have the opportunity to develop skills across two complementary areas of behavioral-health administration: revenue-cycle management and client care coordination.
If you are an experienced behavioral-health biller who enjoys tackling the logistical details that keep a practice running, contributing to a team, and helping people navigate care, we’d really love to hear from you.
** APPLICATION INSTRUCTIONS **
(Fast-track: We also have an easy, quick fill-in form on our website for applications that allows you to upload your resume: https://secondgrowthcounseling.com/join-the-team/billing-specialist/)
Send your resume and a brief description about yourself, what makes you a good fit for this position & team, along with your interest and experience for this role. We would also welcome the submission of a brief intro video (about 3-minutes) in lieu of a written description or coverletter. Resumes, however, must be included.You can send this through Indeed or to this email: info [at] secondgrowth [dot] com.
For candidates who advance to the next round in the hiring process, you may receive a short screening questionnaire to complete prior to interviewing. Before your interview, we will also provide you with a list of our interview questions. We hope this allows you to feel more comfortable and prepared to share. We also find it a better experience rather than attempting to discern candidates through anxiety or uncertainty in the experience. We look forward to a supportive process together!
Job Type: Part-time
Pay: $30.00 - $34.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Professional development assistance
- Retirement plan
- Vision insurance
Application Question(s):
- This position is part-time (20-25 hours) a week at $30-34 an hour during typical business hours, at least 4 days during the week. How does this compare to your ideal work situation?
- Will you be able to commit to at least a year of service in this position?
- The day-to-day tasks of this job involve mental health group practice billing, insurance verification, payment collection, processing claims, communicating with clients & clinicians around billing issues, coordinating with team members, credentialing & maintaining providers with insurance, running metrics/audits/reports, and includes additional cross-training in client care coordination with the admin team. What draws you to this role and what experience do you bring to this position?
Education:
Experience:
- mental health billing & credentialing: 2 years (Required)
Language:
- Spanish with a professional level of fluency (Preferred)
- Spanish with a professinal level of fluency (Preferred)
Work Location: Hybrid remote in Portland, OR (Multnomah County)
