Medical Billing Specialist

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🔥 0 minutes ago

🏈 Alabama, Arizona, +19 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🏛️ District of Columbia – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🦞 Maine – Remote 🎰 Nevada – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ☕ Washington – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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Tava Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

⚕️ Healthcare Insurance

👥 HR Tech

🧘 Wellness

💰 $10M Series A on 2021-12

Healthcare Insurance • HR Tech • Wellness

Tava Health is a company that partners with employers to provide accessible and affordable mental healthcare to employees. They offer a comprehensive approach that differs from traditional Employee Assistance Programs by providing quick access to licensed therapists for both short-term needs and ongoing care for persistent mental health issues. Tava Health's network of vetted therapists can be accessed by employees within a short time frame, enhancing employee engagement and reducing employer healthcare costs. The company is integrated with employer health plans, offering evidence-based therapies to improve mental health outcomes and workplace productivity.

📋 Description

• 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

🎯 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 • Behavioral health billing experience (preferred) • Telehealth and/or multi-state payer experience (preferred) • Experience with Candid Health is a strong plus (preferred) • Experience in a startup or fast-growing healthcare organization (preferred)

🏖️ Benefits

• Competitive salary and stock options (so you share in the company’s success). • Fully-covered medical and dental premiums for you and your family, plus voluntary insurance options. • Free, generous Tava mental health benefit — of course! • Monthly HSA contributions for qualifying enrolled employees. • Generous PTO and paid holidays. • Paid parental leave. • 401(k) retirement plan. • Weekly company-paid lunch via DoorDash and a personal DashPass subscription. • Opportunity to make a meaningful impact at a high-growth, mission-driven company.