Job Description

Job Title: Medical Billing Specialist

Location: Cordova, TN
Employment Type: Full-Time, In-Person

?? About Pathways to Wellness

Pthways to Wellness is a comprehensive behavioral health and wellness practice based in Cordova, Tennessee. We are dedicated to helping individuals and families achieve emotional, mental, and physical wellness through evidence-based care and integrated services. Our team includes licensed therapists, psychiatric providers, and wellness professionals who support clients through counseling, medication management, TMS, Spravato, and other therapeutic interventions.

We serve a diverse population and pride ourselves on compassionate care, clinical excellence, and community impact.

Position Summary

We are seeking a detail-oriented, experienced Medical Billing Specialist to join our administrative team in Cordova, TN . The ideal candidate will have a minimum of 2 years of medical billing experience , with behavioral health billing experience strongly preferred . This is an in-person, full-time role that plays a vital part in ensuring accurate and timely reimbursement for services provided by our clinicians.

Responsibilities

• Prepare and submit insurance claims for behavioral health and psychiatric services (both HCFA 1500 and UB-04 when applicable)
• Verify patient eligibility and insurance benefits for behavioral health services
• Monitor aging reports and follow up on unpaid or denied claims
• Correct and resubmit denied or rejected claims promptly
• Post insurance and patient payments accurately into the practice management system
• Work with patients on billing inquiries, outstanding balances, and payment plans
• Coordinate with providers and front desk staff to ensure documentation accuracy
• Maintain compliance with HIPAA, payer policies, and relevant state/federal regulations
• Generate financial and productivity reports as needed
• Assist in credentialing and payer enrollment processes (if needed)
• Other duties as assigned

? Qualifications

• Minimum 2 years of medical billing experience required
• Behavioral health billing experience strongly preferred
• Knowledge of CPT , ICD-10 , modifiers , and insurance guidelines (Medicare, Medicaid, Commercial)
• Experience with electronic claims processing , clearinghouses, and payer portals
• Familiarity with EHR/PM systems (such as AdvancedMD, Tebra, TherapyNotes, etc.)
• Strong understanding of insurance authorization, coding, and reimbursement
• High attention to detail and accuracy
• Strong organizational and time management skills
• Excellent communication and problem-solving abilities

?? Schedule & Benefits

• Full-Time (Monday–Friday)
• In-Person work required in Cordova, TN
• Compensation - $20.00 - $22.00 / hr.
• Paid Time Off (PTO)
• 401(k)
• Dental insurance
• Health insurance
• Vision insurance
• Positive, mission-driven workplace environment
• Opportunities for professional development

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