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Medical Billing Specialist

Essential Healthcare Solutions LLC

Medical Billing Specialist

Cordova, TN
Full Time
Paid
  • Responsibilities

    Job Title: Medical 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 Medical Billing Specialist to join our administrative team in Cordova, TN. The ideal candidate will have a minimum of 2 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 promptly
    • 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 2 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)
    • 401(k)
    • Dental insurance
    • Health insurance
    • Vision insurance
    • Positive, mission-driven workplace environment
    • Opportunities for professional development