Billing Coordinator

About Nema Health

Nema Health is a survivor- and clinician-led virtual treatment program for PTSD and trauma. We are on a mission to help all trauma survivors find lasting peace & healing. Nema provides virtual, evidence-based treatment that helps people feel better faster---and stay better longer. We are committed to delivering care that's accessible, trauma-specialized, and deeply patient-centered.

At Nema, we offer employees an unparalleled career opportunity: the chance to be part of a mission-driven company while shaping its future during a pivotal stage of growth. If you're someone who thrives in fast-moving environments, values systems thinking, and cares deeply about expanding access to mental health care, you could be a great fit.

About the Role

Nema is seeking a full time coordinator to manage the day-to-day billing and revenue cycle management tasks for our growing business. The ideal candidate has extensive healthcare experience within healthcare billing and with payment practices. This person will act as a liaison between insurance companies, patients, and the Clinical Team to ensure accurate billing practices are executed with high quality.

Responsibilities

• Pre Authorization Management: Submit for pre authorizations when needed, maintain a record of who needs a pre authorization, submit renewals, and track tasks

• Claims Submission: Prepare and submit insurance claims for services provided with accuracy to minimize delays in payment, while adhering to insurance regulations and guidelines

• Billing Management: Monitor billing processes to ensure accuracy and completeness, identifying and rectifying any discrepancies or errors

• Claim Follow-Up: Follow up on unpaid or denied claims, identifying reasons for denials and taking necessary steps to resolve issues. Improve on our billing system to minimize future claim denials

• Payment Processing: Process payments received from insurance companies and patients, accurately recording transactions and reconciling accounts

• **Collecting:**Collect outstanding patient responsibilities following claim adjudication. Issue past-due notices for accounts with outstanding balances

• Documentation and Reporting: Maintain detailed records of billing activities, including claim submissions, payments, and denials. Generate reports as needed to track billing performance including monthly revenue reporting

• **Communication and Coordination:**Respond to inquiries from insurance companies, patients/families, and internal team members regarding billing and financial documents

• **Compliance:**Stay informed about changes in healthcare regulations and insurance policies to ensure compliance with billing procedures

Qualifications

Required:

• 3 years previous experience in medical billing and administrative roles interfacing with payers for functions such as eligibility verification and RCM

• Proficiency in billing software and electronic health records (EHR) systems such as Silna, Candid and Healthie.

• Strong understanding of insurance policies, procedures, and billing codes

• Knowledge of third party payer reimbursement systems, rules and regulations relating to accounts receivable

• Excellent attention to detail and accuracy in data entry and record-keeping

• Sharp problem solving skills and ability to investigate and resolve discrepancies

• Positive, solution oriented attitude and comfort with ambiguity as Nema builds billing processes

• Effective communication skills, both written and verbal

• Comfort and familiarity working with spreadsheets and analyzing data

• Ability to work independently and manage time efficiently in a remote work environment

• High level of integrity and commitment to maintaining patient confidentiality

Preferred:

• VBC or alternative payment model claims billing experience related to telehealth services

• Specific experience with CMS 1500 claims

• Experience as a clinic or behavioral health facility billing specialist

• Experience working remotely

• Coding/Billing Certificate from an accredited institute or school preferred

• Previous experience working in a healthtech startup

• Passion for mental health and expanding access to treatment through insurance

Why Join Nema

We're a growing team of clinicians and operators united by a shared mission: to reduce suffering for people with PTSD and other trauma related disorders. As part of Nema, you'll help build a company where both patients and employees can thrive.

What We Offer

• This role offers a base salary of $60,000-$70,000, which will be determined based on individual experience, qualifications, and market considerations

• This role is also eligible for competitive equity, reflecting the impact and scope of the position at an early-stage, mission-driven company

• Comprehensive benefits including healthcare, 401(k) with matching, and stipends for work-from-home productivity and continued education

• Generous PTO and flexible work hours

• Remote-first culture with supportive team norms

• Inclusive, trauma-informed leadership

• Opportunity to grow with a fast-moving, mission-driven company