Turning Winds

We are seeking an expert Insurance Billing Manager to lead the revenue cycle operations for our adolescent residential treatment center. This is a specialized role focused on primary mental health, requiring a professional who can bridge the gap between clinical documentation and financial reimbursement. You will be responsible for everything from initial intake verification to defending medical necessity during peer-to-peer reviews.

Key Responsibilities

• Verification of Benefits (VOB): Lead the intake financial process by managing all VOBs for incoming admissions, ensuring clear communication of coverage to both families and clinical staff.
• Utilization Review (UR) Leadership: Schedule and manage the UR process, including preparing documentation for and facilitating peer-to-peer and doc-to-doc reviews to secure authorizations for long-term residential care.
• Full-Cycle Claims Management: Process all claims accurately using behavioral health "H-codes" and perform aggressive, timely follow-ups to ensure expedient reimbursements.
• Platform Administration: Manage and optimize our billing and EHR platform, serving as the internal expert for system workflows and data integrity.
• A/R & Appeals: Monitor accounts receivable and lead the appeals process for complex psychiatric denials, advocating directly with insurance medical directors.

Qualifications & Skills

• Experience: 5+ years in behavioral health billing with at least 2 years in a leadership role. Residential Treatment Center (RTC) experience is highly preferred.
• Technical Mastery: Deep understanding of primary mental health billing codes (H0017–H0019), mental health parity laws, and UR protocols.
• Software Proficiency: Proven ability to manage and troubleshoot behavioral health EHR/RCM platforms. Specifically, know how to utilize KIPU RCM.
• Communication: Exceptional ability to navigate sensitive financial conversations with families and professional "doc-to-doc" advocacy with payers.
• TriCare West: Experience in preparing and submitting claims for TriCare adolescent mental health services

Turning Winds is a relational-based, premier residential treatment center which provides services to teens with primary mental health and secondary substance misuse. We leverage our outdoor environment to promote healing.

Our mission is to Rescue teens from crisis, Renew their belief in their own potential and Reunite them with their family and a sustainable path of success. Our campus is located in Troy, Montana. Join our team and make a difference.