Willow Health is seeking an experienced Billing Specialist to support accurate, timely, and compliant billing for behavioral health services.
This role manages day-to-day revenue cycle activities, including claim submission, claim follow-up, denial resolution, payment posting, accounts receivable management, and reimbursement issue resolution. The position works closely with Revenue Cycle leadership and cross-functional teams to improve clean claim rates, resolve payer barriers, and ensure services are properly reimbursed.
The role is fully remote, but requires permanent residence in the United States.
Requirements & Qualifications
Responsibilities
- Review claims for accuracy and completeness before submission.
- Submit clean claims to commercial insurance, Medicare, Medicaid, and managed care payors.
- Monitor claim status and follow up on unpaid, underpaid, rejected, and denied claims.
- Post patient and insurance payments, including bank reconciliation.
- Review and submit patient statements.
- Research and resolve denials and rejections, including appeals and reconsiderations.
- Work accounts receivable and aging reports.
- Review remittances and EOB/EOP documents to identify discrepancies.
- Identify underpayments and reimbursement issues.
- Correct and resubmit claims when needed.
- Communicate with insurance companies regarding eligibility, claim status, authorization, and reimbursement.
- Maintain documentation of billing activity.
- Report denial trends and workflow issues to leadership.
- Collaborate with clinical, operations, credentialing, and revenue cycle teams.
- Support audits, reconciliations, and revenue cycle initiatives.
Qualifications
- Minimum 5 years of hands-on medical billing and accounts receivable experience.
- Experience managing claims through the full billing lifecycle.
- Experience billing commercial insurance, Medicare, and Medicaid.
- Strong knowledge of claim submission, denial management, appeals, AR follow-up, and reimbursement.
- Working knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and place-of-service requirements.
- Experience with payor portals, clearinghouses, and EHR/practice management systems.
- Ability to research complex billing issues independently.
- Strong attention to detail and high-volume workload management.
- Strong written and verbal communication skills.
- Comfort working independently in a remote environment.
Preferred Experience
- Behavioral health, psychiatry, or mental health billing experience.
- Experience billing psychotherapy, psychiatric evaluation, crisis services, and E/M services.
- Experience in a multi-state healthcare or telehealth organization.
- Experience with Medicaid fee-for-service and Medicaid managed care.
- CPC, CPB, or similar billing/coding certification is a plus.
Benefits & Perks
Benefits
- PTO including sick leave, certain federal holidays, and vacation
- Wellness and internet stipend
- 401(k)
- Medical, dental, and vision insurance
Location
New York, New York, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
3 weeks ago