Medical Insurance & Billing Specialist

Job Overview
Neurolimits is a neuroscience-led neuro wellness clinic in Westlake Austin focused on advanced brain health services including TMS, neurofeedback, EEG diagnostics, psychological testing, and sleep-related care.

We are looking for an experienced Medical Insurance & Billing Specialist who can independently manage the complex insurance workflows required in a modern healthcare clinic.

This is a full-time, in-office role (Monday–Friday, 9 AM–6 PM).

We are specifically looking for someone with deep experience handling commercial insurance workflows, including prior authorizations, denied claims, out-of-network benefits, payer communication, and patient responsibility calculations.

Minimum Requirement:

• 5+ years of direct medical insurance billing and back-office insurance experience in a healthcare clinic or medical practice

What You’ll Be Responsible For

Insurance Verification & Benefits

• Verify insurance eligibility and benefits before services
• Determine patient responsibility, deductibles, coinsurance, and out-of-pocket estimates
• Handle both in-network and out-of-network benefit verification
• Understand payer-specific behavioral health and specialty care policies

Authorizations & Pre-Approvals

• Submit prior authorizations and pre-certifications
• Track authorization status and obtain required documentation
• Communicate with providers and staff regarding authorization requirements
• Manage appeals and peer-to-peer coordination when needed

Claims & Revenue Cycle Management

• Submit insurance claims accurately and efficiently
• Review rejected or denied claims and resolve independently
• Correct coding or billing issues when applicable
• Follow up on delayed or underpaid claims
• Maintain claim status tracking and payer communication
• Work aging reports and unresolved balances

Systems & Software

• Use TherapyNotes as the primary EHR
• Use Availity extensively for eligibility, claims, authorizations, and payer communication
• Maintain accurate patient insurance documentation and records

Requirements (Must Have)

• Minimum 5 years of direct medical insurance billing and back-office insurance experience
• Strong experience with Availity
• Experience using TherapyNotes or ability to learn quickly
• Extensive experience with insurance eligibility, authorizations, claims submission, denials, and appeals
• Strong understanding of commercial insurance workflows and payer systems
• Familiarity with major payers including BCBS, Anthem, Aetna, Cigna, United Healthcare, and VA/Tricare
• Comfortable handling complex out-of-state insurance issues and payer variations
• Highly organized and able to manage multiple insurance workflows simultaneously
• Strong phone and communication skills with insurance representatives and patients

Preferred Experience

• Behavioral health, neurology, TMS, or specialty clinic experience
• Experience with out-of-network reimbursement workflows
• Familiarity with mental health and neuro wellness insurance billing

Why Join Neurolimits

• Flexible 1099 contractor role initially, with potential long-term opportunity
• Stable, consistent clinic hours
• Small, highly focused clinical team
• Meaningful responsibility and autonomy
• Professional neuroscience-focused clinical environment

Pay: $22.00 - $28.00 per hour

Benefits:

• Paid time off

Work Location: In person