Medical Billing Specialist

Senior Medical Billing & Revenue Cycle Specialist

Confidential Behavioral Health Practice
Location: Murfreesboro, Tennessee
Job Type: Full-time, in-house
Schedule: Monday–Friday

About the Practice

We are a growing outpatient behavioral health practice committed to providing compassionate, evidence-based mental health care in a professional and supportive environment. We are seeking an experienced Senior Medical Billing and Revenue Cycle Specialist to take ownership of our day-to-day billing operations and help ensure that the practice is accurately and appropriately reimbursed for the services we provide.

This is not an entry-level billing position. We are looking for a highly skilled, detail-oriented professional who understands the full revenue cycle and is proactive about identifying missed revenue, resolving claim issues, and improving reimbursement.

Position Overview

The Senior Medical Billing and Revenue Cycle Specialist will be responsible for submitting accurate and timely insurance claims, managing accounts receivable, resolving denials and underpayments, and maximizing appropriate reimbursement from commercial and government payers.

The ideal candidate has at least five years of hands-on medical billing experience and is comfortable managing all aspects of revenue cycle management. This person should be persistent, analytical, highly organized, and willing to investigate claims until they are properly resolved.

We are willing to offer competitive compensation for a candidate who brings the experience, expertise, and initiative needed to make a meaningful financial impact on the practice.

Key Responsibilities

• Review clinical documentation, coding, charges, and patient information before claim submission
• Submit accurate electronic and paper claims to commercial insurance plans, Medicare, Medicaid, and other payers
• Monitor clearinghouse reports and promptly correct rejected claims
• Work insurance aging reports and consistently follow up on unpaid or delayed claims
• Investigate and resolve claim denials, partial payments, and underpayments
• Prepare and submit corrected claims, reconsiderations, and formal appeals
• Review payer contracts, fee schedules, and remittance information to identify reimbursement discrepancies
• Ensure payments, contractual adjustments, denials, and patient responsibility amounts are posted accurately
• Identify missed charges, coding concerns, authorization issues, and other barriers to reimbursement
• Verify eligibility, benefits, authorization requirements, and coverage limitations when necessary
• Track timely-filing deadlines and ensure claims and appeals are submitted within payer requirements
• Follow up directly with insurance companies through payer portals and telephone communication
• Manage patient account balances and coordinate accurate patient statements
• Assist with credentialing, payer enrollment, electronic funds transfer, and electronic remittance issues as needed
• Maintain detailed documentation of all claim follow-up activity
• Analyze accounts-receivable trends and provide regular reports regarding denials, aging, collections, and reimbursement
• Recommend workflow improvements that reduce denials, improve collections, and shorten the revenue cycle
• Maintain compliance with HIPAA, payer requirements, and applicable federal and state billing regulations
• Collaborate professionally with providers, clinical staff, administrative staff, and patients

Required Qualifications

• Minimum of five years of medical billing and revenue cycle management experience
• Demonstrated experience managing the complete revenue cycle, including claim submission, payment posting, denial management, appeals, accounts receivable, and insurance follow-up
• Strong knowledge of CPT, ICD-10-CM, HCPCS, modifiers, coding edits, and medical-necessity requirements
• Experience billing commercial insurance plans and government payers
• Proven ability to resolve complex denials and recover unpaid or underpaid claims
• Strong understanding of explanation-of-benefit documents, electronic remittance advice, payer portals, clearinghouses, fee schedules, and reimbursement methodology
• Ability to interpret aging reports and prioritize accounts based on financial impact and filing deadlines
• Excellent attention to detail, organization, follow-through, and problem-solving skills
• Strong written and verbal communication skills
• Ability to work independently, take ownership of outcomes, and maintain confidentiality
• Proficiency with electronic health records, practice-management systems, and Microsoft Office or Google Workspace

Preferred Qualifications

• Experience billing for psychiatry, behavioral health, or other outpatient specialty services
• Familiarity with psychiatric evaluation and management coding, psychotherapy add-on codes, specialty medication services, long-acting injectable medications, and prior authorizations
• Experience working with Medicare and Medicaid managed-care plans
• Experience with electronic health record and practice-management platforms
• Certified Professional Biller, Certified Professional Coder, or another recognized billing or coding credential
• Experience reviewing payer contracts and identifying underpayments
• Experience creating revenue-cycle reports and monitoring key performance indicators

What Success Looks Like in This Role

The successful candidate will:

• Submit clean claims accurately and on time
• Reduce preventable rejections and denials
• Maintain consistent follow-up on outstanding accounts
• Recover revenue that might otherwise go unpaid
• Identify underpayments and reimbursement discrepancies
• Keep accounts receivable organized and moving toward resolution
• Communicate problems early and recommend practical solutions
• Take ownership of the financial health of the revenue cycle

Ideal Candidate

You may be an excellent fit for this position if you are the type of billing professional who does not simply resubmit a denied claim and move on. You investigate the reason for nonpayment, review payer requirements, communicate with the insurance company, submit supporting documentation or appeals, and continue following the account until the correct reimbursement is received.

You understand that effective billing requires accuracy, persistence, critical thinking, and a strong sense of accountability.

Compensation and Benefits

• Competitive compensation based on experience, credentials, and demonstrated revenue-cycle expertise
• Full-time, stable weekday schedule
• Paid time off
• Paid holidays
• Supportive and collaborative work environment
• Opportunity to take ownership of billing operations and contribute directly to the continued growth of the practice

Application Requirements

Please submit a résumé detailing your medical billing and revenue cycle experience. Applicants are encouraged to include examples of their experience with denial resolution, accounts-receivable recovery, payer appeals, behavioral health billing, or measurable improvements in reimbursement.

The identity of the practice will be shared with qualified candidates during the interview process.

We are an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other status protected by applicable law.

Pay: $27.00 - $33.00 per hour

Benefits:

• Retirement plan

Work Location: In person

Salary : $27 - $33