TAMMIRA is a youth telehealth startup dedicated to expanding access to psychiatric and mental health care for youth. We are looking for a detail-oriented billing & coding specialist who can own the full claims lifecycle — from submission to resolution — in a fast-moving, mission-driven environment. If you are a self-starter who brings both precision and persistence to revenue cycle work, this role is for you. This is a 1099 independent contractor role. You must have a secure, HIPAA-compliant home office setup and your own reliable equipment. WHAT YOU WILL DO Claims & Billing

• Submit accurate insurance claims using CPT and ICD-10 codes and other fee schedules for psychiatric and behavioral health services for youth
• Track outstanding claims and follow up proactively on unpaid or pending items
• Process payments and reconcile accounts receivable
• Generate patient invoices and manage collections communications as needed

Denials & Appeals

• Investigate denied or underpaid claims and identify root causes
• Prepare and submit appeals with supporting documentation
• Navigate payer portals and make carrier calls to resolve issues
• Log all status updates, call notes, and resolution timelines in detail

Credentialing & Verification

• Handle prior authorizations for mental health services
• Verify patient insurance eligibility and benefits prior to service
• Support provider credentialing and re-credentialing with Medi-Cal and commercial payers

Compliance & Records

• Maintain HIPAA compliance across all documentation and communication
• Audit records for completeness and coding accuracy
• Stay current on payer policy changes and coding updates relevant to mental health

WHAT WE ARE LOOKING FOR Required

• 5+ years of medical billing experience, preferably in mental health or behavioral health
• Strong working knowledge of CPT, ICD-10, and Medi-Cal/Medicaid payer requirements
• Experience managing denials, appeals, and accounts receivable
• Proficiency with EHR/EMR billing systems (TherapyNotes experience is a plus)
• Excellent attention to detail and an over-documenting mindset — if it isn’t logged, it didn’t happen
• Professional clear written and communication skills
• Ability to work independently and take full ownership of assigned tasks

Preferred

• Certification in medical billing or coding (CPC, CCS, CPB, CMRS, or equivalent)
• Experience with psychiatric or youth behavioral health practices
• Familiarity with prior authorization processes specific to mental health services
• Associate’s or bachelor’s degree in healthcare administration, finance, or related field

WHO THRIVES HERE You approach billing like a detective — you do not stop at a denial, you dig until you understand why. You are organized, thorough, and comfortable working autonomously. You care about the mission: ensuring that mental health providers can focus on patients, not paperwork. QUICK DETAILS Pay Rate $20–$24 per hour depending on experience Hours Part-time, Roughly 10–15 hours per week Location Fully remote Job Type 1099 Independent Contractor Software TherapyNotes (something similar preferred) Experience 5+ years in medical billing