Medical Billing Specialist

Tava Health Medical Biller

Tava Health is seeking an experienced and detail-oriented Medical Biller to support our Revenue Cycle Management team. This role focuses on accurate claim creation, timely submissions, payer follow-up, denial resolution, and ensuring an exceptional financial experience for both patients and providers. The ideal candidate thrives in a fast-paced environment, understands behavioral health and EAP billing, and is dedicated to supporting accessible, high-quality mental health care.

This role reports to the Revenue Cycle Manager.

Responsibilities

• 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: research root cause, correct and resubmit, or prepare 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

Requirements

• 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

Preferred

• 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

Why You'll Love Working at Tava

• Competitive salary and stock options (so you share in the company's success).
• Fully-covered medical and dental premiums for you and your family, plus voluntary insurance options.
• Free, generous Tava mental health benefit of course!
• Monthly HSA contributions for qualifying enrolled employees.
• Generous PTO and paid holidays.
• Paid parental leave.
• 401(k) retirement plan.
• Weekly company-paid lunch via DoorDash and a personal DashPass subscription.
• Opportunity to make a meaningful impact at a high-growth, mission-driven company.