Medical Billing Specialist
New
T
Tava HealthMental Health
For tax purposes, priority will be given to candidates living in states where we already have employees. These states are Alabama, Arizona, California, Colorado, Connecticut, District of Columbia, Florida, Georgia, Idaho, Indiana, Maine, Maryland, Massachusetts, Nevada, New Jersey, New York, North Carolina, Ohio, Oregon, Tennessee, Texas, Utah, and Washington.Full-TimeMiddle
SalaryCompetitive salary and stock options
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Job Details
- Experience
- 2+ years of professional medical billing experience
- Required Skills
- HIPAA
Requirements
- 2+ years of professional medical billing experience
- Strong understanding of CPT, ICD-10, and payer billing requirements
- Experience working with EAP (Employee Assistance Program) claims and workflows
- Experience submitting claims through clearinghouses and practice management systems
- Demonstrated success in A/R follow-up and denial management
- Excellent attention to detail, organization, and ability to prioritize workload
- Strong written and verbal communication skills
- Self-motivated, dependable, and aligned with a mission-driven organization
Responsibilities
- Prepare, review, and submit clean medical claims to commercial payers.
- Verify claim accuracy, including coding, modifiers, eligibility, EAP authorizations, and provider details.
- Monitor claim rejections and take timely corrective actions.
- Manage denial resolution: research root cause, correct and resubmit, or prepare appeals.
- Conduct proactive follow-up on outstanding A/R and aging claims.
- Support patient billing activities and inquiries when needed.
- Document all billing activities clearly and accurately in internal systems.
- Ensure compliance with HIPAA, payer regulations, and state/federal billing guidelines.
- Collaborate with credentialing, eligibility/benefits, clinical operations, and internal RCM teammates.
- Identify trends and recommend process improvements to reduce denials and rework.
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