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Remote Billing Specialist

Willow Health - Remote - Remote

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Salary: USD 55,000 - 62,000 / annual

Willow Health is a venture-backed mental health crisis care platform (backed by Andreessen Horowitz) founded by Cityblock and Oscar alums. The company provides virtual crisis psychotherapy, medication management, peer coaching, and care management to people experiencing behavioral health crises, with the goal of expanding affordable access to evidence-based intensive behavioral health care. As a Billing Specialist, you will manage day-to-day billing activities across the full revenue cycle for a multi-payor environment (commercial insurance, Medicare, Medicaid, managed care). You will review claims for accuracy and completeness before submission, submit clean claims, monitor claim status, research and resolve denials and rejections, manage accounts receivable aging, review payor remittances and Explanations of Benefits, identify underpayments and discrepancies, and communicate with insurance companies on eligibility, authorization, and reimbursement issues. You will maintain documentation of billing follow-up, identify recurring denial patterns and workflow problems, and collaborate with clinical, operations, credentialing, and revenue cycle teams to resolve issues affecting claims and reimbursement. You will also support billing audits, reconciliations, and other revenue cycle initiatives. Success will be measured by timely and accurate submission of clean claims, effective follow-up and resolution of outstanding accounts receivable, reduction and timely resolution of denials and rejections, accurate identification and recovery of underpayments, thorough documentation, independent research and resolution of payor and claim issues, and identification of recurring billing trends and process improvement opportunities. The role is fully remote and requires permanent US residence. You will work independently in a fast-moving environment and be expected to embody the company's values: safety above all else, maximizing measurable impact, building inclusively and equitably, stakes-driven speed, teamwork over individual heroics, honoring commitments, and empowerment with empathy. REQUIREMENTS: - Minimum 5 years of hands-on medical billing and accounts receivable experience - Strong experience working claims across the full billing lifecycle (submission through final payment/resolution) - Experience billing commercial insurance, Medicare, and Medicaid - Strong knowledge of claim submission, rejection resolution, denial management, appeals, accounts receivable follow-up, and payor reimbursement - Working knowledge of CPT, HCPCS, ICD-10-CM, modifiers, place-of-service requirements, and standard healthcare billing terminology - Experience using payor portals, clearinghouses, and electronic health record/practice management systems - Demonstrated ability to research complex billing issues and independently determine appropriate next steps - Strong attention to detail and ability to identify inconsistencies or errors impacting reimbursement - Ability to prioritize high-volume workload and consistently follow claims through resolution - Strong written and verbal communication skills - Comfort working independently in a remote, fast-moving environment - Openness to and ability to respond to constructive feedback - Desire to improve mental health care delivery PREFERRED QUALIFICATIONS: - Medical billing experience within behavioral health, psychiatry, or mental health services - Experience billing psychotherapy, psychiatric evaluation, crisis services, and evaluation and management services - Experience working within a multi-state healthcare or telehealth organization - Experience with both fee-for-service Medicaid and Medicaid managed care - Experience identifying denial trends and contributing to process improvements that improve clean claim rates and reimbursement - CPC, CPB, or other relevant billing/coding certification (not required with equivalent hands-on experience) - Previous experience working remotely

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