Career Opportunities

Rebel Heart Therapy is seeking LMFTs who are passionate, grounded, and ready to join a super-queer, values-driven team.

Are you an Oregon fully-licensed Marriage & Family Therapist who is deeply committed to anti-racist, social justice-oriented, LGBTQIA+ Affirmative Therapy?

Rebel Heart Therapy is seeking MFTs who are passionate about relational work and eager to support the healing and growth of couples, polycules, families, and other relational systems. This is a unique opportunity to provide identity-affirming care within a radically inclusive, mission-driven group practice.

We strongly encourage applications from clinicians who are part of underrepresented communities, including the LGBTQIA+ community.

Position Overview:

• Provide relational therapy to couples, families, polycules, triads, and other relationship systems.

• Support clients navigating identity, intimacy, communication, trauma, and life transitions through a culturally responsive, affirming lens.

• Deliver high-quality, client-centered therapy that celebrates neurodivergence, queerness, kink, non-monogamy, and other lived experiences of our community.

• Full-time position: average of 25 weekly client sessions, with a minimum of 30 hours available.

• Attend monthly staff meetings and team bonding events.

• This is an in-office position in Portland, OR.

Duties and Responsibilities:

• Provide excellent therapy to a diverse caseload of relational clients (couples, families, polycules, etc.).

• Maintain timely and complete documentation (within 48 working hours; all notes completed before planned time off).

• Collaborate with outside providers when needed to support holistic care.

• Participate in regular team meetings and ongoing clinical training.

• Contribute to a culture of warmth, equity, and curiosity.

• Embody Rebel Heart Therapy’s mission, vision, and values in all client and team interactions.

Qualifications and Skills:

• Deep alignment with Rebel Heart Therapy’s mission, values, and affirming clinical approach.

• Master’s or Doctoral degree in Marriage and Family Therapy.

• Active LMFT license in good standing with the Oregon Board of Licensed Professional Counselors and Therapists (OBLPCT).

• Demonstrated experience with LGBTQIA+ Affirmative Therapy or at least six months of clinical work with queer, trans, polyamorous, kinky, or otherwise marginalized populations.

• Strong relational therapy skills and a commitment to working with diverse family and relationship systems.

• Organized, timely, and able to manage documentation independently.

• Collaborative, communicative, and grounded in presence and professionalism.

This Position Might Not Be For You If:

• You're seeking a routine job without deeper engagement.

• You don't resonate with our mission, vision, and values.

• Engaging with teams and colleagues is a challenge for you or causes you distress.

• You're planning to start your private practice soon.

But It's Perfect For You If:

• You're committed to providing affirmative, social justice-oriented therapy.

• You're knowledgeable about queer history and engaged with the communities we serve.

• You're excited to be part of a team that values creativity, collaboration, and growth.

• You're open to receiving and acting on direct, constructive feedback.

• You have prior private practice experience and now wish to focus solely on clinical work, leaving the business aspects to someone else.

• You’re looking for a practice to grow with—one that invests in you while you invest in it.

Join us and become a vital part of a team dedicated to making a difference. At Rebel Heart Therapy, your role as a Clinical Therapist is a journey of helping, healing, and contributing to a community that cares.

Click HERE to Apply

Medical Billing Specialist

Rebel Heart Therapy is seeking a Medical Billing Specialist who is detail-oriented, grounded, and ready to join a super-queer, values-driven team.

Are you a billing professional with at least 5 years’ experience who is deeply committed to equity and supporting the LGBTQIA+ community? This is a unique opportunity to support identity-affirming care within a radically inclusive, mission-driven group practice.

We strongly encourage applications from candidates who are part of underrepresented communities, including the LGBTQIA+ community.

Position Overview

• Full-time; Monday through Friday

• Pay: $25–$29/hour DOE

• Benefits: Group Health & Dental Insurance, Paid Vacation & Sick Days

• In-office position (Portland, OR)

Duties and Responsibilities

• Review, prepare, and submit clean claims to Kaiser Permanente Northwest and out-of-network payers.

• Apply CPT, HCPCS, and ICD-10 coding correctly to procedures and diagnoses.

• Monitor claim status and follow up on unpaid or denied claims to maximize revenue.

• Post payments, adjustments, and denials accurately in the billing system.

• Work directly with patients on billing inquiries, payment plans, and account resolution.

• Verify patient insurance eligibility and benefits as needed.

• Generate and analyze accounts receivable and aging reports; recommend process improvements.

• Collaborate with providers, intake staff, and management to resolve documentation or coding discrepancies.

• Maintain accurate financial records in compliance with HIPAA and payer-specific regulations.

• Attend monthly staff meetings and team bonding events

• Assist leadership in evaluating potential contracts with additional insurance payers, including analyzing reimbursement rates and administrative requirements.

• Support the provider credentialing and re-credentialing process with insurance panels, including preparing and submitting applications and tracking progress.

Workplace Culture & Values

• Approach billing work with cultural humility, inclusivity, and trauma-informed care principles.

• Contribute to a culture of warmth, equity, and curiosity.

• Embody Rebel Heart Therapy’s mission, vision, and values in all client and team interactions.

Qualifications and Skills

• Deep alignment with Rebel Heart Therapy’s mission and values.

• Excellent communication, problem-solving, and organizational skills.

• Strong attention to detail, timeliness, and ability to self-manage.

• Collaborative and professional in team settings.

• Knowledge of compliance standards, including HIPAA and CMS.

• Minimum 5 years of medical billing/coding experience.

• Certification as a Certified Professional Coder (CPC) or Certified Professional Biller (CPB) preferred.

• In-depth knowledge of insurance carriers.

• Proficiency with EMR/EHR and practice management systems. Proficiency with TherapyNotes is a plus.

• Experience with payer contracting and/or provider credentialing strongly preferred.

• Ability to interpret payer fee schedules and assess the financial impact of potential contracts.

Ideal Candidate

• Demonstrates cultural fluency in working with LGBTQIA+ and gender-diverse communities, using affirming language and pronouns correctly as a natural part of professional practice.

• Understands that billing work is part of making affirming care sustainable and accessible.

• Thrives in a collaborative, values-driven team environment.

• Brings both accuracy and compassion to billing interactions with clients.

• Is open to feedback and invested in growth alongside the practice.

• Excited to contribute beyond billing by helping the practice expand insurance network participation and streamline credentialing processes.

This role may not be a fit if:

• You prefer isolated, transactional work without team collaboration.

• You’re not comfortable engaging with a values-driven, equity-oriented workplace culture.

Why Join Us?

At Rebel Heart Therapy, your expertise ensures that our clients can focus on healing while our practice remains financially strong and sustainable. As a Medical Billing Specialist, you’ll play a vital role in supporting accessible, affirming mental health care within a community that values equity, inclusion, and growth.

To Apply:

Please apply through Indeed using this link