Medical Billing & Credentialing Specialist

Description

Medical Billing & Credentialing Specialist

Full-Time | W-2 | Hybrid – Sherman Oaks, CA | $25–$30/hour

About Zeeva

Zeeva Behavioral Health is a woman-owned, therapist-owned and therapist-led group psychotherapy practice with offices in Sherman Oaks and West LA, and telehealth across California.

We believe exceptional mental health care should be deeply human and accessible. That's why we intentionally work with Medicare, Medi-Cal, and most major commercial insurance plans. Making quality care accessible isn't an afterthought. It's part of who we are.

We're a growing, boutique practice built on clinical excellence, meaningful relationships, and five core values: Heart-Centered, Dedicated to Excellence, Inspired Learning, Brave Reflection, and The Power of We.

The Opportunity

We're looking for an experienced, exceptionally organized Medical Billing & Credentialing Specialist who will take full ownership of our medical billing, accounts receivable, insurance issues, client balances, and clinician credentialing.

This is a hands-on role for someone who gets things done. You don't consider a claim complete because you submitted it. You follow it through until it's paid or appropriately resolved. You don't let denials pile up, applications sit untouched, or outstanding balances go unaddressed.

We need someone who can walk into imperfect systems, figure out what's wrong, fix it, and establish processes that prevent the same problems from happening again.

You don't just complete tasks. You own outcomes.

We're looking for someone who takes pride in doing things right, follows through, and wants to be a vital part of a team that values excellence, accountability, and genuine collaboration.

We'd love to welcome you to Zeeva.

Zeeva Behavioral Health is an equal opportunity employer.

Requirements

What You'll Own

Medical Billing & Revenue Cycle

• Manage all claims from submission through payment or documented final resolution across Medicare, Medi-Cal, and commercial insurance.
• Investigate and resolve rejections, denials, underpayments, unpaid claims, and aged AR, including appeals and timely filing.
• Handle all secondary billing, coordination of benefits, and insurance discrepancies.
• Own client balances, statements, collections follow-up, payment arrangements, and resolution of outstanding accounts.
• Post and reconcile insurance and client payments, EOBs, ERAs, and deposits.
• Monitor all AR, including insurance and client balances, ensuring nothing sits unworked or falls through the cracks.
• Identify billing errors, compliance concerns, and recurring payer problems, and address their root causes.
  
  

Credentialing & Enrollment

• Manage all clinician credentialing, enrollment, and recredentialing with Medicare, Medi-Cal, and commercial payers.
• Maintain CAQH, PECOS, payer portals, directories, and provider records.
• Track every application, approval, effective date, follow-up, and renewal through completion.
• Ensure clinicians are appropriately credentialed without avoidable delays.
  
  

Reporting & Process Improvement

• Audit existing billing and credentialing workflows, identify gaps, and resolve outstanding issues.
• Maintain accurate AR, claims, and credentialing trackers.
• Provide clear weekly reports on collections, denials, AR aging, unresolved claims, client balances, and credentialing progress.
• Develop and maintain practical SOPs that ensure consistency and accountability.
• Proactively identify problems, communicate them clearly, and drive solutions through completion.
• Oversee insurance verification accuracy and monthly eligibility reviews, resolving coverage issues before they become billing problems.
  
  

Who We're Looking For

You're sharp, persistent, highly organized, and comfortable taking ownership. You know how to pursue payment for a legitimate claim, even when the first answer from an insurance company is no. You can spot problems in the numbers, navigate complicated payer rules, and follow through without someone constantly checking on you. You don't hide problems or wait to be asked. You communicate clearly, take initiative, and hold yourself to high standards. You work independently, welcome feedback, and understand that accountability and The Power of We go hand in hand.

Required Qualifications

• 5+ years of hands-on medical billing experience.
• 3+ years of credentialing and payer enrollment experience.
• Strong expertise in Medicare, Medi-Cal, and commercial insurance.
• Proven experience resolving difficult denials, recovering aged AR, and managing client balances.
• Strong experience with CAQH, PECOS, and payer enrollment.
• Excellent organizational, analytical, and follow-through skills.
• Strong HIPAA-compliant work practices.
  
  

Preferred Qualifications

• Behavioral health and psychotherapy billing experience.
• Knowledge of psychotherapy CPT codes.
• Experience with IntakeQ/PracticeQ and TriZetto or Stedi.
• Medical billing or coding certification.
  
  

Compensation & Benefits

$25–$30/hour, based on experience.Full-time, Monday–Friday, 40 hours per week. Hybrid schedule based in Sherman Oaks.Benefits include:

• 10 paid holidays, with flexibility in holiday selection
• 10 additional PTO days
• Medical, dental, and vision insurance
• Flexible Spending Account (FSA)
• 401(k) with employer match
• Remote work stipend
• Self-care stipend
• Opportunities for professional growth