Medical Billing Specialist

This is a fully remote position, open to applicants in Alabama, +20 more states.

📋 Description

• Prepare, review, and submit accurate medical claims to commercial payers.

• Ensure the precision of claims, including coding, modifiers, eligibility, EAP authorizations, and provider information.

• Track claim rejections and implement timely corrective measures.

• Handle denial resolution by researching root causes, making corrections and resubmitting, or preparing appeals.

• Conduct proactive follow-ups on outstanding accounts receivable and aging claims.

• Provide support for patient billing activities and respond to inquiries as necessary.

• Accurately document all billing activities in internal systems.

• Maintain compliance with HIPAA, payer regulations, and state/federal billing guidelines.

• Collaborate with credentialing, eligibility/benefits, clinical operations, and internal revenue cycle management teammates.

• Identify trends and suggest process enhancements to minimize denials and rework.

⛳️ Requirements

• Minimum of 2 years of professional experience in medical billing.

• Strong knowledge of CPT, ICD-10, and payer billing standards.

• Familiarity with EAP (Employee Assistance Program) claims and related workflows.

• Experience in submitting claims through clearinghouses and practice management systems.

• Proven track record in accounts receivable follow-up and denial management.

• Exceptional attention to detail, organizational skills, and the ability to prioritize tasks effectively.

• Strong written and verbal communication abilities.

• Self-motivated, reliable, and committed to a mission-driven organization.

• Experience in behavioral health billing is preferred.

• Knowledge of telehealth and/or multi-state payer experience is preferred.

• Familiarity with Candid Health is considered a strong advantage.

• Experience in a startup or rapidly growing healthcare organization is preferred.

🏝️ Benefits

• Competitive salary and stock options, allowing you to share in the company’s success.

• Fully-covered medical and dental premiums for you and your family, in addition to voluntary insurance options.

• Complimentary and generous Tava mental health benefit.

• Monthly HSA contributions for eligible enrolled employees.

• Generous paid time off and paid holidays.

• Paid parental leave.

• 401(k) retirement plan.

• Weekly company-paid lunch via DoorDash along with a personal DashPass subscription.

• Opportunity to make a significant impact at a rapidly growing, mission-driven company.