Medical Billing Specialist

About Thrive Counseling Center

At Thrive, we believe everyone deserves access to high-quality, affirming mental health care. We are a community dedicated to this mission, and we know that providing exceptional care for our clients starts with supporting our entire team. We believe that when our employees thrive, our clients do too.

Our work culture is built on a foundation of collaboration, integrity, and clear, compassionate communication. We are proudly affirming of all identities and strive to create an inclusive environment where every team member feels safe, seen, and valued. From client care to our billing practices, we hold ourselves to high ethical standards and believe in working with each other to achieve our goals.

As a member of our administrative team, you will play a vital role in making our vision a reality. Your work will directly support our ability to make top-tier therapy accessible, ensuring our services are more available, not more complicated. Here, you can apply your skills to a meaningful mission as a respected member of a team that is passionate about helping our community grow—together.

Position Summary

We are looking for a Behavioral Health Billing Specialist who brings a human touch and a curious mindset to our billing team. In this role, you will be the vital link between our clients, clinicians, and insurance payers and have a talent for investigation and a commitment to clear communication. You will take ownership of the billing cycle, using your problem-solving skills to resolve issues and your customer service expertise to provide answers and support. A willingness to actively engage with people over the phone is essential for success in this position.

Key Responsibilities

• Manage the full billing cycle, including claim submission, payment posting, and data reconciliation within our Electronic Medical Record (EMR) system.
• Proactively investigate and resolve claim denials, rejections, and aging accounts by communicating with insurance payers to maximize reimbursement.
• Perform timely and accurate insurance benefit verifications for all clients, and clearly communicate coverage details to both clients and clinicians.
• Create and maintain billing reports for the billing manager and ensure adherence to all billing policies, procedures, and HIPAA regulations.
• Oversee patient account management, including preparing accounts for collections when necessary and providing backup support to the client care team.
• Performs other related duties as assigned to support the needs of the organization.

Required Qualifications

• High school diploma or GED equivalent.
• 2+ years of outpatient medical billing experience, preferably in a mental health setting.
• Deep understanding of the insurance landscape, including in/out-of-network benefits, coordination of benefits, UCRs, complexities of self-funded plans, and local coverage determinations.
• Thorough understanding of HIPAA policies and a demonstrated ability to apply them strictly in daily work to ensure patient privacy.
• Demonstrated experience with EMR systems and billing software (e.g., Therapy Appointment, Office Ally, Availity, and others). Proficiency in Google Suite and MS Excel is required.
• Exceptional critical thinking & problem-solving skills with a proactive, detail-oriented approach to identifying and resolving issues.
• Excellent communication skills, with the confidence to speak directly with patients and insurance representatives by phone and email.
• Ability to work independently and manage time effectively in a fast-paced, remote environment.

Preferred Qualifications

• Experience with provider credentialing.
• Experience with medicare and medicaid billing.
• Associate's degree or relevant certification (e.g., Certified Billing and Coding Specialist - CBCS).

What We Offer

• Competitive salary based on experience.
• Comprehensive benefits package (Medical, Dental, Vision).
• Paid Time Off (PTO) and Paid Sick Leave (PSL).
• 401(k) plan with company match.
• A supportive and collaborative team environment.
• 100% Remote work flexibility.

Thrive Counseling is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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