Medical Biller & Accounts Receivable Specialist (Behavioral Health)

Overview

Coastal Wellness & Counseling, LLC is seeking an experienced Medical Biller & Accounts Receivable Specialist who can independently manage claims, resolve denials, and drive accurate reimbursement in a behavioral health setting. This is a high-accountability role for a detail-oriented professional who takes ownership of billing outcomes and thrives in a fast-paced environment.

Coastal Wellness & Counseling, LLC is seeking an experienced Medical Biller & Accounts Receivable Specialist who can independently manage claims, resolve denials, and drive accurate reimbursement in a behavioral health setting. This is a high-accountability role for a detail-oriented professional who takes ownership of billing outcomes and thrives in a fast-paced environment.

About Us

Coastal Wellness & Counseling (CWC) is a mental health counseling clinic dedicated to delivering compassionate, high-quality care. Our clinical team consists of 15 providers and continues to grow, delivering over 1,000 billable services each month. We offer individual, couples, family, and group therapy to patients across Alaska, fostering a welcoming and supportive environment for both patients and staff.

Our team is committed to delivering exceptional care across the full patient experience—from the first point of contact through treatment and all financial aspects of care—emphasizing transparency and clarity to reduce patient stress, help prevent medical debt, and improve access to high-quality behavioral health services.

Position Overview

The Medical Biller & Accounts Receivable Specialist is responsible for managing insurance billing and accounts receivable functions to ensure accurate, efficient, and optimized reimbursement for services. This role includes preparing, reviewing, and submitting claims, maintaining patient account information, and actively managing claim lifecycles through to resolution.

This position requires a high level of ownership and the ability to independently research, analyze, and resolve complex billing issues. Responsibilities include reviewing Explanation of Payments (EOPs), verifying diagnosis and authorization codes, determining financial responsibility, and making appropriate account adjustments. The role also includes posting payments, reconciling accounts, and driving resolution of denied, underpaid, or outstanding claims and patient balances.

The Medical Biller & Accounts Receivable Specialist maintains consistent, professional communication with insurance companies regarding claim status, discrepancies, and appeals, while ensuring accurate and thorough documentation. This individual also supports patients with billing-related inquiries and upholds strict compliance with HIPAA and payer regulations across all billing and accounts receivable activities.

Success in this role requires strong analytical thinking, attention to detail, persistence in problem-solving, and the ability to manage priorities effectively in a fast-paced, high-accountability environment.

Key Responsibilities

• Prepare, review, and submit insurance claims to ensure accurate, efficient, and optimized reimbursement for services
• Actively manage claim lifecycles from submission through final resolution, including tracking claim status and confirming receipt with payers
• Independently research, analyze, and resolve complex billing issues, including reviewing Explanation of Payments (EOPs), verifying diagnosis and authorization codes, determining financial responsibility, and making appropriate account adjustments
• Post payments and reconcile accounts with a high degree of accuracy, ensuring financial integrity across all transactions
• Drive resolution of denied, underpaid, or unpaid claims, including identifying root causes, correcting errors, and resubmitting or appealing as appropriate
• Proactively manage and resolve outstanding patient balances, supporting a clear and transparent patient financial experience
• Maintain and update patient account information within billing systems and supporting tools, ensuring accuracy and completeness of records
• Communicate consistently and professionally with insurance companies regarding claim status, discrepancies, and appeals
• Maintain accurate, thorough, and compliant billing documentation across all accounts and activities
• Assist patients with billing-related inquiries, providing clear, supportive, and transparent communication regarding financial responsibility
• Ensure full compliance with HIPAA, payer regulations, and organizational policies across all billing and accounts receivable activities

Qualifications

• High school diploma or equivalent required
• Minimum of 2+ years of medical billing experience required; 3+ years preferred, with experience in behavioral or mental health settings strongly preferred
• Strong working knowledge of CPT and ICD-10 coding and their application in claims processing
• Demonstrated experience working with commercial insurance payers, including claims submission, denial management, and reimbursement processes
• Experience with electronic health records (EHR) and billing platforms (e.g., SimplePractice, Kareo, TherapyNotes, Athena, or similar systems)
• Proficiency in Microsoft Office Suite, Google Workspace, and team communication platforms (e.g., Slack)
• Strong attention to detail with advanced organizational and time management skills
• Excellent communication, analytical, and problem-solving abilities, with the ability to independently research and resolve billing issues
• Ability to work with a high degree of independence, exercise sound judgment, and manage competing priorities in a fast-paced environment

Background Check Requirement: Must be able to successfully pass a background check as a condition of employment.

Compensation & Benefits

• Competitive hourly wage or salary (based on experience)
• Paid time off and holidays
• 401(k) matching

Why Join CWC?

• Collaborative Environment: Be part of a supportive team that values communication, growth, and patient-centered care.
• Opportunity for Growth: This role offers room for advancement within the billing department as proficiency and responsibility increase.
• Make a Difference: Play a key role in patient advocacy, ensuring positive outcomes and a supportive experience for those navigating the complexities of healthcare billing.

Schedule

• Monday to Friday
• 8:00am – 5:00pm

Pay: $28.00 - $32.00 per hour

Expected hours: 40.0 per week

Benefits:

• 401(k)
• Paid time off

Application Question(s):

• How many years of medical billing and accounts receivable experience do you have?
• Have you independently managed accounts receivable (A/R) and claim follow-up?
• How do you typically handle claim denials?
• This role requires independent problem-solving and consistent follow-through. How do you stay organized and ensure tasks are completed?
• This position does not include employer-sponsored health insurance benefits. Are you comfortable moving forward under these terms?
• At Coastal Wellness & Counseling, LLC, we are committed to providing affirming, inclusive, and non-discriminatory care to all clients, including individuals across diverse sexual orientations, gender identities, and relationship structures. This role requires supporting clients in alignment with these values. Are you able to meet this expectation in your work?
• This is an in-person position and does not offer remote work. The schedule is Monday through Friday, 8:00 AM – 5:00 PM. Are you able to meet these requirements?

Work Location: In person