Benefits:

401(k)

401(k) matching

Competitive salary

Dental insurance

Health insurance

Opportunity for advancement

Paid time off

Billing Manager

Behavioral Health (Virginia Medicaid – DMAS / ARTS) Location: Remote Virginia-Based Employment Type: Full-Time Salary: $80,000-90,000 based on experience

Position Overview

We are seeking an experienced Billing Manager with in-depth knowledge of Virginia Medicaid (DMAS) billing, specifically within the Behavioral Health and ARTS programs. This individual will oversee all aspects of revenue cycle management related to Virginia Medicaid and managed care organizations (MCOs), ensuring compliance, accuracy, and timely reimbursement.

The ideal candidate has direct experience billing for ARTS levels of care (e.g., 2.1, 2.5, 3.1, OTP, etc.) and understands the regulatory and documentation standards required for successful claims submission and audit defense.

Key Responsibilities

Oversee all Virginia DMAS billing operations for behavioral health and ARTS services

Ensure accurate claim submission to DMAS and Virginia Medicaid MCOs

Monitor claim denials, rejections, and appeals; implement corrective action strategies

Maintain compliance with ARTS billing requirements

Review documentation to ensure medical necessity and billing integrity

Manage authorizations and ensure alignment with approved services

Oversee revenue cycle metrics, including A/R, aging, and reimbursement trends

Develop and implement billing policies and internal controls

Coordinate with clinical leadership to address documentation or compliance issues

Prepare for and respond to DMAS, MCO, and audit requests

Supervise Virginia billing staff

Required Qualifications

Minimum 3–5 years of direct experience billing Virginia Medicaid (DMAS)

Demonstrated experience billing ARTS services (Level 2.1, 2.5, 3.1, OTP, etc.)

Strong understanding of DMAS provider manuals and Medicaid fee schedules

Experience working with Virginia Medicaid MCOs (e.g., UHC, Anthem, Aetna, Humana, Sentara)

Knowledge of service authorization requirements and medical necessity standards

Experience managing denials and appeals within ARTS programs

Strong understanding of compliance and audit risk mitigation

High attention to detail and ability to analyze billing trends

Preferred Qualifications

Experience working within DBHDS-licensed programs

Experience with behavioral health EHR systems

Prior leadership or supervisory experience

Familiarity with credentialing and enrollment processes

Core Competencies

Regulatory expertise (DMAS & ARTS)

Revenue cycle management

Compliance and audit readiness

Analytical and problem-solving skills

Strong written and verbal communication

Process improvement mindset

Why Join Us

This is an opportunity to work with a mission-driven behavioral health organization committed to regulatory excellence and operational integrity. We value expertise, accountability, and innovation in behavioral health billing.

This is a remote position.