Medical Billing Representative (Remote)

About Brave Health

At Brave Health, we are driven by a deep commitment to transform lives by expanding access to compassionate, high-quality mental health care. By harnessing the power of technology, we break down barriers and bring mental health treatment directly to those who need it most—wherever they are. As a community health-centered organization, we are dedicated to ensuring that no one is left behind. Nearly 1 in 4 people in the U.S. receive healthcare through Medicaid, yet two-thirds of providers don’t accept it. Brave Health is stepping up to close this gap by making mental health care accessible, affordable, and life-changing for all.

Job Overview

As the Medical Billing Representative, you will serve as the primary point of contact for patients reaching out to Brave Health with billing matters. The ideal candidate for this position is someone who is detail oriented, has exceptional customer service skills, and has a strong background in patient billing experience.  Under general supervision of the Sr Revenue Cycle Manager, the Billing Representative is responsible for various facets of medical billing associated with customer billing. 

Salary: The starting pay rate for this position is $17.00 per hour.

Work Schedule & Location: This is a full-time, remote position. Hours 8:00am-5:00pm ET; 1 hour unpaid break; or 8:30am-5:00pm ET with a half hour unpaid break. Team members may work from any state within the U.S. that Brave is set up to conduct business in. 

Responsibilities

Patient Communication and Invoice Management: 

• • Handle inbound and outbound calls to answer inquiries from patients, guarantors, and insurance companies regarding account status, billing discrepancies, and payment arrangements.
  • Regularly contact patients to explain charges and assist them with understanding their insurance benefits and claims.
  • Update patient demographics and insurance information while documenting all interactions, including inquiries, complaints, and resolutions.
  • Manage escalation calls to ensure patient satisfaction and de-escalate challenging situations.

Insurance and Payment Coordination: 

• • Work with medical insurance companies to resolve payment issues, review patient eligibility, and obtain necessary authorizations and referrals to ensure claims approval.
  • Prepare, review, and transmit claims in accordance with payer regulations to produce clean claims, process EDI rejections, and handle denials through appeals or resubmissions.
  • Monitor high-balance accounts and identify insurance issues or billing trends, reporting them to leadership as necessary.
  • Utilize online insurance and practice management systems for tasks such as eligibility checks, claim status monitoring, and payment processing.
  • Process insurance and patient refunds and ensure payment arrangements comply with company policies.

Enrollment, Documentation, and Issue Resolution: 

• • Collaborate with the contracting and credentialing department to complete payor enrollment and set up newly contracted payors within the billing system.
  • Maintain accurate records of enrollment activities, update payer fee schedules, and track progress on claims and payments.
  • Work correspondence, aged accounts receivable, and assist with resolving eligibility issues.
  • Apply sound judgment in handling confidential information, following HIPAA guidelines, and meeting organizational financial goals.

Qualifications

• Bilingual in Spanish (preferred).
• Minimum one year of medical billing experience in a healthcare setting.
• High school diploma or equivalent.
• Strong knowledge of medical billing, Medicaid, Medicare, and commercial insurance practices.
• Ability to review and prepare clean claims, work denials, appeals, and resubmit claims as necessary.
• Excellent oral and written communication skills.
• Ability to handle inbound/outbound calls and interact with patients, guarantors, or insurance companies in a fast-paced environment.
• Experience handling escalated calls, resolving billing discrepancies, and maintaining high customer satisfaction.
• Proficiency in Word, Excel, and practice management systems.
• Strong documentation and data management skills, including updating patient demographics and insurance information.
• Ability to reconcile batch totals and process insurance and patient refunds accurately.
• Strong organizational skills with the ability to work independently and meet deadlines.
• Ability to identify billing, system, or collections issues, monitor high-balance accounts, and address insurance claim problems.
• Effective problem-solving, decision-making, and analytical skills.
• Ability to work cohesively in a team-oriented environment while fostering good working relationships.
• Knowledge of HIPAA Privacy & Security regulations and ability to handle confidential information securely.

Preferred Skills:

• Experience with EDI systems, claim status monitoring, and insurance portals is an advantage.
• Experience working with Florida Medicaid is a plus.

What We Offer

Brave Health provides its employees a comprehensive benefits package that includes:

• W2, Full-time hourly position
• Monday - Friday schedule; No on-call or weekend shifts
• Health, Dental, Vision Insurance benefits
• Vacation, Holiday and Sick time

Brave Health is very proud of our diverse team who care for a diverse population of patients. We are an equal opportunity employer and encourage all applicants from every background and life experience without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status