Medical Insurance & Billing Specialist

Medical Insurance & Billing Specialist Neurolimits Austin, TX Job Details Full-time $22 - $28 an hour 14 hours ago Benefits Paid time off Qualifications Appeals Medical documentation Insurance prior authorization Handling insurance claims Phone communication Insurance claim appeals processing Clinic experience Health insurance experience Health insurance Medical insurance appeals management Patient interaction Client interaction via phone calls Full Job Description Job Overview Neurolimits is a neuroscience-led neuro wellness clinic in Westlake Austin focused on advanced brain health services including TMS, neurofeedback, EEG diagnostics, psychological testing, and sleep-related care. We are looking for an experienced Medical Insurance & Billing Specialist who can independently manage the complex insurance workflows required in a modern healthcare clinic. This is a full-time, in-office role (Monday-Friday, 9 AM-6 PM). We are specifically looking for someone with deep experience handling commercial insurance workflows, including prior authorizations, denied claims, out-of-network benefits, payer communication, and patient responsibility calculations.

Minimum Requirement:

5+ years of direct medical insurance billing and back-office insurance experience in a healthcare clinic or medical practice What You'll Be Responsible For Insurance Verification & Benefits Verify insurance eligibility and benefits before services Determine patient responsibility, deductibles, coinsurance, and out-of-pocket estimates Handle both in-network and out-of-network benefit verification Understand payer-specific behavioral health and specialty care policies Authorizations & Pre-Approvals Submit prior authorizations and pre-certifications Track authorization status and obtain required documentation Communicate with providers and staff regarding authorization requirements Manage appeals and peer-to-peer coordination when needed Claims & Revenue Cycle Management Submit insurance claims accurately and efficiently Review rejected or denied claims and resolve independently Correct coding or billing issues when applicable Follow up on delayed or underpaid claims Maintain claim status tracking and payer communication Work aging reports and unresolved balances Systems & Software Use TherapyNotes as the primary EHR Use Availity extensively for eligibility, claims, authorizations, and payer communication Maintain accurate patient insurance documentation and records Requirements (Must Have) Minimum 5 years of direct medical insurance billing and back-office insurance experience Strong experience with Availity Experience using TherapyNotes or ability to learn quickly Extensive experience with insurance eligibility, authorizations, claims submission, denials, and appeals Strong understanding of commercial insurance workflows and payer systems Familiarity with major payers including BCBS, Anthem, Aetna, Cigna, United Healthcare, and VA/Tricare Comfortable handling complex out-of-state insurance issues and payer variations Highly organized and able to manage multiple insurance workflows simultaneously Strong phone and communication skills with insurance representatives and patients Preferred Experience Behavioral health, neurology, TMS, or specialty clinic experience Experience with out-of-network reimbursement workflows Familiarity with mental health and neuro wellness insurance billing Why Join Neurolimits Flexible 1099 contractor role initially, with potential long-term opportunity Stable, consistent clinic hours Small, highly focused clinical team Meaningful responsibility and autonomy Professional neuroscience-focused clinical environment

Pay:

$22.00 - $28.00 per hour

Benefits:

Paid time off

Work Location:

In person