[Hiring] Billing Specialist @Willow Health

Role Description

Willow Health is seeking an experienced Billing Specialist to support accurate, timely, and compliant billing across our payor mix. This role will be responsible for managing day-to-day billing activities across the revenue cycle, including:

• Claim submission
• Claim follow-up
• Denial resolution
• Payment posting and review
• Accounts receivable management

The Billing Specialist will work closely with Revenue Cycle leadership to identify billing issues, resolve payor-related barriers, and ensure services are appropriately reimbursed.

The ideal candidate is an experienced medical biller who can work independently, investigate complex billing issues, understand payor requirements, and take ownership of claims through final resolution.

Day to Day Responsibilities

• Review claims for accuracy and completeness prior to submission.
• Submit clean claims to commercial insurance, Medicare, Medicaid, and managed care payors.
• Monitor claim status and proactively follow up on unpaid, underpaid, rejected, and denied claims.
• Post payments from patients and insurance received electronically, paper, and virtual credit card.
• Review and submit patient statements as balances incur.
• Review patient account questions and provide clear responses in a timely manner.
• Research and resolve claim denials and rejections.
• Work accounts receivable and aging reports according to established follow-up timelines and priorities.
• Review payor remittances and Explanation of Benefits/Explanation of Payment documentation.
• Identify underpayments and reimbursement discrepancies.
• Correct and resubmit claims when billing errors or payor requirements are identified.
• Communicate with insurance companies regarding eligibility, claim status, and other billing-related issues.
• Maintain clear and complete documentation of billing follow-up and actions taken.
• Identify recurring denial patterns and communicate trends to Revenue Cycle leadership.
• Collaborate with clinical, operations, credentialing, and revenue cycle teams.
• Maintain working knowledge of payor billing requirements and changes impacting reimbursement.
• Support billing-related audits, reconciliations, and other revenue cycle initiatives.

Success in this Role Will Be Measured By:

• Timely and accurate submission of clean claims.
• Effective follow-up and resolution of outstanding accounts receivable.
• Reduction and timely resolution of claim denials and rejections.
• Accurate identification and recovery of underpayments.
• Thorough and consistent documentation of billing activity.
• Ability to independently research and resolve payor and claim issues.
• Identification of recurring billing trends and opportunities to improve revenue cycle processes.

Qualifications

• Minimum of 5 years of hands-on medical billing and accounts receivable experience.
• Strong experience working claims across the full billing lifecycle.
• Experience billing commercial insurance, Medicare, and Medicaid.
• Strong knowledge of claim submission, rejection resolution, denial management, and appeals.
• Working knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and standard healthcare billing terminology.
• Experience using payor portals, clearinghouses, and electronic health record/practice management systems.
• Demonstrated ability to research complex billing issues.
• Strong attention to detail and ability to identify inconsistencies or errors.
• Ability to prioritize a high-volume workload.
• Strong written and verbal communication skills.
• Comfort working independently in a remote, fast-moving environment.
• An openness to and ability to respond to constructive feedback.
• A desire to improve mental health care delivery.

Preferred Qualifications

• Medical billing experience within behavioral health, psychiatry, or mental health services strongly preferred.
• Experience billing psychotherapy, psychiatric evaluation, crisis services, and evaluation and management services.
• Experience working within a multi-state healthcare or telehealth organization.
• Experience with both fee-for-service Medicaid and Medicaid managed care.
• Experience identifying denial trends and contributing to process improvements.
• CPC, CPB, or other relevant billing/coding certification is a plus.
• Previous experience working remotely.

Benefits

• PTO includes sick leave, certain federal holidays, and vacation.
• Wellness and Internet stipend.
• 401K.
• Medical, dental, and vision insurance.
• $55,000 - $62,000 a year.