Medical Billing Revenue Cycle Specialist

Benefits

• 401(k)
• Bonus based on performance
• Health insurance
• Vision insurance

SoLuna Mental Wellness is a locally owned mental health clinic serving North Houston. We combine clinical excellence with intentional care — for clients and for our team. Financial clarity and ethical billing practices are part of how we protect access to quality mental health services.

This full-time, in-house position oversees the full revenue cycle process. The ideal candidate ensures clean claims, reduces denials, maintains accurate accounts, and supports both clinic sustainability and patient financial transparency.

This role requires precision, initiative, and the ability to navigate insurance systems with confidence and professionalism.

• Insurance Verification & Authorizations
  • Verify eligibility, benefits, deductibles, and copays prior to services
  • Confirm coverage limitations and authorization requirements
  • Obtain and track prior authorizations
  • Communicate benefit details clearly to administrative and clinical teams
• Claims Submission & Management
  • Submit clean and accurate claims in a timely manner
  • Monitor claim status via clearinghouse and payer portals
  • Correct and resubmit rejected claims
  • Follow up consistently on outstanding claims
• Denials & Remittance Processing
  • Investigate and resolve denied or underpaid claims
  • Prepare and submit appeals as needed
  • Clean up historical remittance issues
  • Identify denial trends and recommend corrective action
• Payment Posting & Reconciliation
  • Post insurance and patient payments accurately
  • Reconcile ERA/EOB payments
  • Balance deposits and adjustments
  • Maintain clean, accurate financial records
• Accounts Receivable & Aging
  • Monitor and manage patient and insurance aging reports
  • Reduce A/R days through proactive follow-up
  • Identify high-risk or problem accounts
  • Provide monthly revenue cycle reporting
• Patient Billing & Collections
  • Generate and manage patient statements
  • Process payment plans
  • Communicate respectfully and clearly regarding balances
  • Enforce financial policies while maintaining a compassionate approach
• Compliance & Revenue Optimization
  • Maintain HIPAA compliance
  • Ensure adherence to payer regulations
  • Recommend improvements to billing systems and workflows
  • Support leadership in strengthening financial performance

• Active certification as one of the following (widely recognized by Texas employers):
• Certified Professional Coder (CPC) – AAPC
• Certified Professional Biller (CPB) – AAPC
• Certified Coding Associate (CCA) – AHIMA
• Minimum 2–3 years of medical billing experience (mental health preferred)
• Strong knowledge of CPT, ICD-10, and insurance reimbursement processes
• Experience with clearinghouses and payer portals
• Proficiency in EHR systems (mental health platforms preferred)
• Familiarity with Texas Medicaid and commercial insurance plans is a plus
• Strong organizational and analytical skills
• Ability to work independently and problem-solve proactively

• Detail-oriented and systems-driven
• Calm and solution-focused under pressure
• Comfortable navigating complex insurance systems
• Clear communicator regarding financial matters
• High integrity and strong confidentiality standards
• Improvement-minded and proactive
• Flexible work from home options available.