Tava Health is hiring an experienced and detail-oriented Medical Biller to join our Revenue Cycle Management team. You will be responsible for accurate claim creation, timely submissions, payer follow-up, and denial resolution, ensuring an exceptional financial experience for both patients and providers at our mission-driven mental health care organization.
What You'll Do
- Prepare, review, and submit clean medical claims to commercial payers.
- Verify claim accuracy, including coding, modifiers, eligibility, EAP authorizations, and provider details.
- Monitor claim rejections and take timely corrective actions.
- Manage denial resolution by researching root causes, correcting and resubmitting claims, or preparing appeals.
- Conduct proactive follow-up on outstanding A/R and aging claims.
- Support patient billing activities and inquiries when needed.
- Document all billing activities clearly and accurately in internal systems.
- Ensure compliance with HIPAA, payer regulations, and state/federal billing guidelines.
- Collaborate with credentialing, eligibility/benefits, clinical operations, and internal RCM teammates.
- Identify trends and recommend process improvements to reduce denials and rework.
What We're Looking For
- 2+ years of professional medical billing experience.
- Strong understanding of CPT, ICD-10, and payer billing requirements.
- Experience working with EAP (Employee Assistance Program) claims and workflows.
- Experience submitting claims through clearinghouses and practice management systems.
- Demonstrated success in A/R follow-up and denial management.
- Excellent attention to detail, organization, and ability to prioritize workload.
- Strong written and verbal communication skills.
- Self-motivated, dependable, and aligned with a mission-driven organization.
Nice to Have
- Behavioral health billing experience.
- Telehealth and/or multi-state payer experience.
- Experience with Candid Health is a strong plus.
- Experience in a startup or fast-growing healthcare organization.
Team & Environment
You will report to the Revenue Cycle Manager.
Benefits & Compensation
- Competitive salary.
- Free Tava mental health benefit for you and your family.
- Medical and dental insurance for you and your dependents.
- Monthly HSA contributions.
- Generous PTO and paid holidays.
- Paid parental leave.
- Work-from-home flexibility.
- Weekly team lunches.
- Opportunity to help shape a growing company and culture.
Work Mode
This position offers work-from-home flexibility and is open to candidates in Alabama, Arizona, California, Connecticut, Florida, Georgia, Idaho, Indiana, Nevada, North Carolina, Maine, Maryland, Massachusetts, New Jersey, New York, Oregon, Tennessee, Texas, Virginia, and Utah.
Tava Health is a mission-driven organization focused on making high-quality mental health care available to everyone.
Tava Health does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity, or any other reason prohibited by law in provision of employment opportunities and benefits.
