Behavioral Health Billing Specialist

Essential Healthcare Solutions LLC

Behavioral Health Billing Specialist

Cordova, TN
Full Time
Paid
  • Responsibilities

    Job Title: Behavioral Health Billing Specialist

    Location: Cordova, TN
    Employment Type: Full-Time, In-Person
    Compensation: Competitive pay based on experience; includes paid time off (PTO) and benefits package.

    ?? About Pathways to Wellness

    Pathways to Wellness is a comprehensive behavioral health and wellness practice based in Cordova, Tennessee. We are dedicated to helping individuals and families achieve emotional, mental, and physical wellness through evidence-based care and integrated services. Our team includes licensed therapists, psychiatric providers, and wellness professionals who support clients through counseling, medication management, TMS, Spravato, and other therapeutic interventions.

    We serve a diverse population and pride ourselves on compassionate care, clinical excellence, and community impact.

    Position Summary

    We are seeking a detail-oriented, experienced Behavioral Health Billing Specialist to join our administrative team in Cordova, TN. The ideal candidate will have a minimum of 3 years of medical billing experience, with behavioral health billing experience strongly preferred. This is an in-person, full-time role that plays a vital part in ensuring accurate and timely reimbursement for services provided by our clinicians.

    Responsibilities

    • Prepare and submit insurance claims for behavioral health and psychiatric services (both HCFA 1500 and UB-04 when applicable)

    • Verify patient eligibility and insurance benefits for behavioral health services

    • Monitor aging reports and follow up on unpaid or denied claims

    • Correct and resubmit denied or rejected claims in a timely manner

    • Post insurance and patient payments accurately into the practice management system

    • Work with patients on billing inquiries, outstanding balances, and payment plans

    • Coordinate with providers and front desk staff to ensure documentation accuracy

    • Maintain compliance with HIPAA, payer policies, and relevant state/federal regulations

    • Generate financial and productivity reports as needed

    • Assist in credentialing and payer enrollment processes (if needed)

    • Other duties as assigned

    ? Qualifications

    • Minimum 3 years of medical billing experience required

    • Behavioral health billing experience strongly preferred

    • Knowledge of CPT, ICD-10, modifiers, and insurance guidelines (Medicare, Medicaid, Commercial)

    • Experience with electronic claims processing, clearinghouses, and payer portals

    • Familiarity with EHR/PM systems (such as AdvancedMD, Tebra, TherapyNotes, etc.)

    • Strong understanding of insurance authorization, coding, and reimbursement

    • High attention to detail and accuracy

    • Strong organizational and time management skills

    • Excellent communication and problem-solving abilities

    ?? Schedule & Benefits

    • Full-Time (Monday–Friday)

    • In-Person work required in Cordova, TN

    • Competitive salary (based on experience)

    • Paid Time Off (PTO)

    • Other benefits offered

    • Positive, mission-driven workplace environment

    • Opportunities for professional development