Medical Billing & Collections Specialist

North End Wellness – Remote \| Full\-Time (Monday–Friday)

About North End Wellness

North End Wellness is a growing mental health practice based in Boise, Idaho, serving individuals, couples, and families. Our team includes 20\+ clinicians and a dedicated administrative staff working together to support both clients and one another.

We place a strong emphasis on a healthy, collaborative work environment—one where people communicate openly, support each other, and take ownership of their roles. We value professionalism, accountability, and team members who contribute to a positive and well\-functioning workplace.

Position Overview

We are seeking a skilled and reliable Medical Billing \& Collections Specialist to manage the full billing cycle within a behavioral health setting. This role requires strong experience with insurance processes, claim management, and client communication, along with the ability to work independently in a remote environment while staying closely connected with the team.

Core Responsibilities

• Manage the full medical billing cycle, including charge entry, claim submission, payment posting, and collections
• Verify insurance eligibility and behavioral health benefits prior to services
• Submit and track claims through clearinghouses and insurance portals
• Identify, investigate, and resolve claim denials and rejections
• Communicate with insurance companies to resolve billing issues and ensure timely reimbursement
• Respond to client billing inquiries via phone and email in a clear, professional, and supportive manner
• Manage outstanding balances and collections while maintaining a positive client experience
• Maintain accurate documentation within the EHR and billing systems

Outcome\-Based Expectations (Behavioral Health Focus)

• Submit clean claims within 24–48 hours of session completion
• Maintain low claim denial and rejection rates through accurate, proactive billing practices
• Resolve denied or rejected claims in a timely manner (typically within 7–14 days)
• Keep accounts receivable within a healthy range (target to be defined, typically \<30–45 days)
• Minimize missed or delayed reimbursements due to eligibility or authorization issues
• Support clinicians by ensuring billing processes do not disrupt client care or scheduling continuity
• Maintain a professional, supportive client experience when handling billing or collections concerns
• Identify patterns or system issues (e.g., recurring denials, eligibility gaps) and proactively suggest improvements

Team \& Communication Expectations

• Communicate clearly, directly, and professionally with both clients and team members
• Be assertive and proactive in identifying issues and following through to resolution
• Work collaboratively with scheduling, admin, and leadership to keep systems running smoothly
• Ask questions, clarify expectations, and speak up when something is unclear or off\-track
• Contribute to a positive, solutions\-focused team environment
• Be responsive and reliable in communication, especially in a remote setting
• Balance independence with teamwork—own your role while staying aligned with the larger system

Qualifications

• Prior experience in medical billing and collections required (behavioral health experience preferred)
• Strong knowledge of insurance verification, claims processing, and denial management
• Experience working with insurance companies and navigating billing systems
• Excellent customer service and communication skills
• Strong attention to detail and organizational skills
• Ability to problem\-solve complex billing issues independently
• Comfortable working remotely with a high level of accountability and follow\-through

Ideal Candidate Traits

• Self\-motivated and dependable in a remote work environment
• High work ethic with strong follow\-through
• Detail\-oriented and organized
• Assertive, clear communicator who can navigate difficult conversations professionally
• Creative problem solver who can handle complex and evolving situations
• Team\-oriented and aligned with a collaborative, supportive work culture

Preferred (Not Required)

• Certification in medical billing and coding (e.g., CPC, CBCS)
• Completion of a medical billing or coding education program

Compensation \& Benefits

Hourly Pay: $21–$24 per hour depending on experience

Benefits include:

• IRA retirement plan with 3% employer matching

Administrative Staff Wellness \& Growth Bonus Program

Administrative staff participate in a Wellness \& Growth Bonus Program that rewards long\-term contribution to the practice. The bonus accumulates based on hours worked and years of service and is paid annually.

Estimated annual bonus levels:

• Years 1–3: \~ $1,100
• Years 3–6: \~ $2,200
• Years 6–9: \~ $3,200
• Years 9\+: \~ $4,300
• (Actual amounts may vary depending on hours worked.)

Annual Performance Bonus

Administrative staff may also earn an Annual Performance Bonus based on their contribution to the team and overall performance.

Maximum bonus levels:

• 1–2 years: up to $500
• 3–4 years: up to $1,000
• 5\+ years: up to $1,500

Work Environment \& Culture

We are a low\-drama, high\-accountability team. We value people who take ownership of their work, communicate directly, and focus on solutions. Our goal is to create a stable, supportive, and efficient environment where both staff and clients are well cared for.

Apply

If you are interested in the position, please submit your resume along with a brief letter of interest outlining your relevant experience.

If you have questions about the role, we’re happy to connect and provide additional information.

We look forward to hearing from you.

Pay: $21\.00 \- $24\.00 per hour

Benefits:

• 401(k)
• Professional development assistance

Work Location: Remote