Benefits:

401(k)

Bonus based on performance

Health insurance

Vision insurance

About SoLuna

SoLuna Mental Wellness is a locally owned mental health clinic serving North Houston. We combine clinical excellence with intentional care — for clients and for our team. Financial clarity and ethical billing practices are part of how we protect access to quality mental health services.

We are seeking an experienced in-house Medical Billing & Revenue Cycle Specialist to manage and strengthen our entire billing process from insurance verification to collections.

Position Overview

This full-time, in-house position oversees the full revenue cycle process. The ideal candidate ensures clean claims, reduces denials, maintains accurate accounts, and supports both clinic sustainability and patient financial transparency.

This role requires precision, initiative, and the ability to navigate insurance systems with confidence and professionalism.

Key Responsibilities

Insurance Verification & Authorizations

Verify eligibility, benefits, deductibles, and copays prior to services

Confirm coverage limitations and authorization requirements

Obtain and track prior authorizations

Communicate benefit details clearly to administrative and clinical teams

Claims Submission & Management

Submit clean and accurate claims in a timely manner

Monitor claim status via clearinghouse and payer portals

Correct and resubmit rejected claims

Follow up consistently on outstanding claims

Denials & Remittance Processing

Investigate and resolve denied or underpaid claims

Prepare and submit appeals as needed

Clean up historical remittance issues

Identify denial trends and recommend corrective action

Payment Posting & Reconciliation

Post insurance and patient payments accurately

Reconcile ERA/EOB payments

Balance deposits and adjustments

Maintain clean, accurate financial records

Accounts Receivable & Aging

Monitor and manage patient and insurance aging reports

Reduce A/R days through proactive follow-up

Identify high-risk or problem accounts

Provide monthly revenue cycle reporting

Patient Billing & Collections

Generate and manage patient statements

Process payment plans

Communicate respectfully and clearly regarding balances

Enforce financial policies while maintaining a compassionate approach

Compliance & Revenue Optimization

Maintain HIPAA compliance

Ensure adherence to payer regulations

Recommend improvements to billing systems and workflows

Support leadership in strengthening financial performance

Required Qualifications

Active certification as one of the following (widely recognized by Texas employers):

Certified Professional Coder (CPC) – AAPC

Certified Professional Biller (CPB) – AAPC

Certified Coding Associate (CCA) – AHIMA

Minimum 2–3 years of medical billing experience (mental health preferred)

Strong knowledge of CPT, ICD-10, and insurance reimbursement processes

Experience with clearinghouses and payer portals

Proficiency in EHR systems (mental health platforms preferred)

Familiarity with Texas Medicaid and commercial insurance plans is a plus

Strong organizational and analytical skills

Ability to work independently and problem-solve proactively

Ideal Candidate Traits

Detail-oriented and systems-driven

Calm and solution-focused under pressure

Comfortable navigating complex insurance systems

Clear communicator regarding financial matters

High integrity and strong confidentiality standards

Improvement-minded and proactive

Flexible work from home options available.