Medical Billing Associate
About The Position
Tembo Health is seeking a highly skilled and motivated Medical Billing Associate to manage the execution of our core revenue cycle functions. This role is critical in ensuring accurate and timely revenue capture across our virtual care services, directly supporting our mission of delivering coordinated, high-quality dementia care. The ideal candidate thrives in a fast-paced, virtual environment, possesses deep expertise in Medicare insurance billing, and can leverage systems like Athena to drive efficiency. The candidate will work the full revenue cycle process, from claim submission through payment posting and collections. This role requires strong knowledge of AR follow-up, insurance requirements, and denial management.
Requirements
- Minimum 2+ years of professional fee AR follow-up experience in a medical/virtual care setting.
- Expert knowledge of Medicare, Medicare Advantage, and commercial insurance requirements relevant to senior care.
- Demonstrated ability to function as a system specialist for Athena Health EMR and billing platform. Please only apply if you can demonstrate expertise in navigating Athena, which will be an early component of the interview process.
- Detail-oriented, analytical problem-solver, with exceptional organizational and time management skills.
- Excellent communication and interpersonal skills, essential for a Patients First and collaborative virtual environment.
- Strong proficiency in Microsoft Office, specifically Excel (for reporting and analysis).
- High school diploma or GED (must be verifiable).
Nice To Haves
- Experience in mental health or chronic care/dementia billing is highly valued.
- College education preferred.
- CPC (Certified Professional Coder) preferred.
Responsibilities
- Manage claims from all aging categories, including follow-up, posting, appeals, and additional documentation requests.
- Investigate and resolve denied claims by coordinating with providers, payors, and internal teams.
- Submit claims and communicate billing information to insurance carriers accurately and timely.
- Monitor delinquent accounts and pursue collections as needed.
- Maintain documentation of follow-through efforts and appeal processes within the billing system.
- Prepare and review patient statements and account balances; discuss financial options and collections with patients/families as necessary.
- Generate and analyze finance insights and status reports for leadership on claim resolution progress and overall financial health.
- Collaborate with team members on revenue cycle improvements and process optimization.
- Perform additional billing-related tasks as assigned.
- Act as the specialist/point person for Athena insight and functionality, providing key input for builds and process optimization driven by the Product team.
- Ensure strict compliance with all HIPAA regulations and guidelines.
- Work laterally and vertically with different departments and teams; as needed, manage contractor resources
Benefits
- Mission-Driven Impact: Every call helps a family access expert dementia care and reduces ER visits, hospitalizations, and caregiver burden.
- Professional Growth: Gain specialized dementia care training aligned with CMS GUIDE Care Navigator standards.
- Remote Flexibility: Work from anywhere while staying connected with an innovative, passionate team.
- Collaborative Culture: Join a multidisciplinary environment of clinicians, care navigators, and healthcare innovators.
- Competitive Pay: $19–$23/hour based on experience and performance, with advancement opportunities.
- Meaningful Work: Be part of a company improving quality of life for families across the nation.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
11-50 employees
