LivWell Behavioral Health

Role Description LivWell is seeking a strategic, experienced Commercial Biller & Insurance Contracting Specialist to own the full scope of our commercial billing operations and payer relationship management. This is a high-impact, dual-function role that combines hands-on billing oversight with the payer contracting responsibilities critical to LivWell's continued growth. As we expand into new markets, your expertise in insurance contracting, credentialing coordination, and revenue cycle optimization will be central to our financial health and operational scalability. Key Responsibilities - Billing Operations - Oversee all commercial insurance billing operations for LivWell's behavioral health service lines. - Submit, monitor, and appeal commercial insurance claims to maximize reimbursement and minimize AR days. - Analyze billing metrics and identify opportunities to improve collection rates and denial outcomes. - Develop and maintain billing policies, procedures, and internal documentation standards. - Train and support billing staff while ensuring ongoing compliance with payer and regulatory requirements. - Insurance Contracting & Payer Relations - Manage payer enrollment, credentialing support, and insurance contracting across all active and expanding markets. - Negotiate and maintain contracts with commercial insurance carriers, behavioral health carve-out networks, and managed care organizations. - Track contract renewals, reimbursement rates, and payer performance against benchmarks. - Collaborate with clinical and administrative leadership to align contracting strategy with organizational growth goals. - Ensure compliance with MHPAEA (Mental Health Parity), HIPAA, and applicable state and federal billing regulations. - Revenue Cycle Leadership - Partner with LivWell's COO and clinical leadership to optimize overall revenue cycle performance. - Produce regular billing performance reports and present recommendations to leadership. - Lead cross-functional initiatives to improve intake-to-reimbursement workflows as LivWell scales into new states. Qualifications - Minimum 4–7 years of experience in medical billing, with at least 2 years focused on commercial insurance contracting or payer relations. - Experience in behavioral health or outpatient mental health billing strongly preferred. - Demonstrated experience negotiating payer contracts and managing contract renewals. - Thorough understanding of behavioral health carve-out payer structures (Optum Behavioral Health, Carelon, Magellan, Evernorth). - Working knowledge of MHPAEA parity requirements and their impact on behavioral health billing. - Experience managing or mentoring billing staff. - Proficiency in medical billing software, EHR systems, and data reporting tools. - Strong analytical, communication, and organizational skills. - Relevant certification (CPB, CPCO, CMRS, or CHFP) strongly preferred. Requirements - Compensation: $60,000 - $80,000 annually, DOE - Employment Type: Full-Time | Benefits-eligible

Role Description LivWell is seeking an experienced Part-Time Commercial Billing Specialist to support the accurate and timely processing of commercial insurance claims. This is a focused billing support role ideal for a seasoned billing professional looking for flexible, meaningful contract or part-time work alongside their existing employment. You will play a key role in maintaining LivWell's revenue cycle health and ensuring payer compliance across our behavioral health service lines. Key Responsibilities - Submit commercial insurance claims accurately and in a timely manner. - Monitor claim status and proactively resolve denials, rejections, and unpaid claims. - Verify insurance eligibility and benefits as needed prior to or following service delivery. - Post insurance payments and reconcile accounts. - Communicate directly with insurance companies regarding claim issues and discrepancies. - Maintain accurate patient billing records and documentation in accordance with HIPAA and payer guidelines. - Assist with patient billing questions related to commercial insurance coverage. - Ensure ongoing compliance with payer guidelines and applicable billing regulations. Qualifications - Minimum 2 years of medical billing experience, with direct experience in commercial insurance claims. - Experience in behavioral health, mental health, or outpatient healthcare billing strongly preferred. - Familiarity with behavioral health CPT codes and common commercial payers (Optum Behavioral Health, Carelon, Magellan, Evernorth, UHC, BCBS, Aetna). - Working knowledge of HIPAA compliance requirements. - Proficiency in medical billing software and EHR/EMR systems. - Strong attention to detail and ability to work independently with minimal oversight. - Relevant certification (CPB, CPC, or similar) a plus. Requirements - Part-time (1099 contract or W-2 part-time considered) Benefits - Compensation: $22 - $26 hourly, depending on experience