Medical Billing Specialist at Groups Recover Together, Inc.

United States

$40k - $54k

<h2>Overview</h2> <p>Join a mission-driven behavioral health organization where your expertise directly supports patient care. We are seeking a detail-oriented Medical Billing Specialist (Claims Specialist) to own the full claims lifecycle, from submission through resolution, ensuring timely and accurate reimbursement for services that change lives.</p> <p>&nbsp;</p> <p>In this role, you will be a critical partner across billing, intake, and contracting, helping identify trends, resolve denials, and improve revenue cycle performance.</p> <p>&nbsp;</p> <p>Salary range: $40K - $54K + Benefits.</p> <p>&nbsp;</p> <p>This position is fully remote, however, for this role, we are prioritizing candidates who align with the Eastern time zone (EDT/EST) for consistent overlap and availability with our core clinical and operational teams.</p> <h2>Responsibilities</h2> <p><strong>What You’ll Do</strong></p> <ul> <li><p>Manage claims from submission through final resolution, including follow-ups, appeals, and payment support.</p></li> <li><p>Investigate and resolve unpaid or denied claims using payer portals and direct outreach to insurance providers.</p></li> <li><p>Analyze denials and rejections, research payer policies, and submit reconsiderations and appeals.</p></li> <li><p>Document account activity and manage medical records requests with accuracy and compliance.</p></li> <li><p>Track and trend payer issues to identify patterns and recommend process improvements.</p></li> <li><p>Collaborate cross-functionally with Billing, Cash Posting, Contracting, and Intake teams.</p></li> </ul> <h2>Qualifications</h2> <p><strong>Qualifications</strong></p> <ul> <li><p>High school diploma or equivalent required; associate degree or certification preferred.</p></li> <li><p>CPC certification preferred.</p></li> <li><p>2–5 years of medical billing or claims management experience, ideally in behavioral health or healthcare services.</p></li> </ul> <p>Please note: This role is not available to residents of AK, AR, CA, HI, ID, MD, NE, SD, UT, or WY.</p>