Revenue Cycle Specialist (Medical Biller – Behavioral Health)

About Us

TNT Healthcare Billing Solutions is a rapidly growing revenue cycle management (RCM) company supporting behavioral health, integrative medicine, and specialty practices across the country. We specialize in high-touch billing operations, payer strategy, and complex services such as Spravato (esketamine) therapy, TMS, and outpatient mental health services. Our mission is simple: handle the business of healthcare so providers can focus on patient care. Position Overview We are seeking a detail-oriented and experienced Revenue Cycle Specialist / Medical Biller with a strong background in behavioral health billing. This role will be responsible for managing the full revenue cycle, including claim submission, follow-up, denial management, and payer communication. This is a fully remote position. Candidates must be comfortable working in a virtual environment and collaborating with the team on a consistent basis. Experience with Spravato (esketamine) billing workflows is highly preferred.

Key Responsibilities

• Submit and manage insurance claims (commercial, Medicare, Medicaid/PMAP)
• Perform insurance verification and benefits analysis (VOB)
• Handle prior authorizations and ongoing authorization tracking
• Review and correct claim rejections and denials; submit appeals as needed
• Post payments, reconcile EOBs/ERAs, and manage accounts receivable (AR)
• Follow up on outstanding claims and unpaid balances
• Ensure compliance with payer-specific billing rules and documentation requirements
• Collaborate with providers and internal teams to resolve billing issues
• Maintain accurate documentation within EMR and billing systems

Required Qualifications

• 2+ years of medical billing or revenue cycle management experience
• Behavioral health billing experience required
• Strong knowledge of CPT, ICD-10, and payer guidelines
• Experience with claim follow-up and denial resolution
• Ability to manage multiple payer portals and workflows
• High attention to detail and strong organizational skills
• Must be comfortable training and working within Microsoft Teams, including attending and participating in regular virtual meetings

Preferred Qualifications

• Experience billing Spravato (esketamine) services (G2082, G2083, J-codes, buy-and-bill vs specialty pharmacy)
• Familiarity with DrChrono EMR (strong plus)
• Experience with clearinghouses (Waystar, etc.)
• Knowledge of TMS, psychotherapy, and E&M coding
• Experience working with PMAP/Medicaid plans and Medicare
• For out-of-state candidates: experience working with Minnesota-based health plans (e.g., BCBS MN, UCare, HealthPartners, Medica) is a strong plus

Work Environment & Expectations

• This is a fully remote role
• Candidates must have the ability to train remotely via Microsoft Teams and actively participate in ongoing team meetings
• Reliable internet connection and professional remote workspace required
• Local candidates (Minnesota area) must be willing to attend periodic in-person meetings as scheduled

Compensation & Benefits

• Competitive hourly rate or salary (based on experience)
• Performance-based incentives
• Flexible work environment (remote/hybrid options)
• Opportunity for growth within a rapidly expanding company
• Supportive, team-oriented culture

Why Join TNT Healthcare Billing Solutions?

• Work directly with leadership and have a real impact
• Exposure to advanced billing models (Spravato, specialty services)
• Growth-focused environment with opportunities to expand your skillset
• Be part of a company that values accuracy, accountability, and innovation

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