• Oversee all billing operations for Pain Management Practice • Ensure accurate, compliant, and timely billing for clinic visits, interventional procedures, injections, diagnostics, and rehabilitation services • Drive clean claim submission and optimal cash flow • Manage billing for clinic visits, interventional pain procedures, injections, diagnostics, and rehabilitation services • Ensure accurate charge entry, claim creation, and timely submission • Serve as subject matter expert for pain management billing, fees schedules, liens, and direct bill processes • Supervise billing staff, set productivity standards, and conduct performance reviews • Partner with coding, authorization, AR, and clinical teams to resolve claim issues • Monitor billing KPIs including clean claim rate, billing lag, and rejection trends • Conduct audits and implement corrective action plans as needed

• Own end-to-end billing operations, ensuring accuracy and efficiency across the full billing cycle. • Support recurring, and usage-based, billing models across systems for a variety of subscription, invoicing, and payment term configurations. • Drive system and process improvements, including AI adoption, automation initiatives, and integrations to streamline workflows. • Maintain strong AR health through proactive aging reviews, collections coordination with the sales team, and timely resolution of billing inquiries. • Lead quarter-end write-off recommendations and own AR reporting, including aging analysis, allowance for doubtful accounts, and related GL reconciliations • Support monthly accounting close activities, including contract review, usage validation, invoice verification, journal entries, reconciliations, and analytics. • Support external audit requirements and manage PBC requests related to billing operations. • Support the operational processes for new SKU creation, new product launches, pricing models, and business initiatives.

Role Description As an Insurance Billing/ AR Follow-Up Specialist you are responsible for the maximization of reimbursement by contacting insurance carriers and/or 3rd parties on a daily basis to collect outstanding insurance balances due, resolve disputes and denials and general non-payment issues. - Understanding of and adherence to payer policies and protocol. - Utilize Payer resources to resolve disputes and denials. - Adhere to payer timely filing limits and work accounts to resolve within payer timely filing parameters. - Appeal claims when appropriate and within timely filing limits. - Perform due diligence in reconciling outstanding balances ensuring all efforts have been exhausted in resolving issues with payers prior to write-off. - Research all payer refund requests, recoupments and credit balances for accuracy and appeal if appropriate. - Familiar with Payer contracts to ensure compliance. Qualifications - Post-secondary degree preferred. - Minimum of 3 years’ Billing and Accounts Receivable experience in a healthcare office environment. - Coding experience a plus. - Significant experience using Microsoft Office - Word, Excel, PowerPoint, and Outlook. - Ability to learn and adapt to internal software programs. Requirements - Schedule: Monday-Friday: flexible, ~7:00am-4:00pm EST - Location: Fully Remote - Compensation Disclosure: Starting hourly range between $22.00 - $25.00 - Final Compensation offered will be within pay range based on qualifications/experience met for the position Benefits - HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield) - Dental insurance (Delta Dental) - Vision insurance (EyeMed) - Short-term and long-term disability insurance - Company-paid life insurance - 401(k) plan available two months after start date - Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation - Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.

Role Description LivWell is seeking a strategic, experienced Commercial Biller & Insurance Contracting Specialist to own the full scope of our commercial billing operations and payer relationship management. This is a high-impact, dual-function role that combines hands-on billing oversight with the payer contracting responsibilities critical to LivWell's continued growth. As we expand into new markets, your expertise in insurance contracting, credentialing coordination, and revenue cycle optimization will be central to our financial health and operational scalability. Key Responsibilities - Billing Operations - Oversee all commercial insurance billing operations for LivWell's behavioral health service lines. - Submit, monitor, and appeal commercial insurance claims to maximize reimbursement and minimize AR days. - Analyze billing metrics and identify opportunities to improve collection rates and denial outcomes. - Develop and maintain billing policies, procedures, and internal documentation standards. - Train and support billing staff while ensuring ongoing compliance with payer and regulatory requirements. - Insurance Contracting & Payer Relations - Manage payer enrollment, credentialing support, and insurance contracting across all active and expanding markets. - Negotiate and maintain contracts with commercial insurance carriers, behavioral health carve-out networks, and managed care organizations. - Track contract renewals, reimbursement rates, and payer performance against benchmarks. - Collaborate with clinical and administrative leadership to align contracting strategy with organizational growth goals. - Ensure compliance with MHPAEA (Mental Health Parity), HIPAA, and applicable state and federal billing regulations. - Revenue Cycle Leadership - Partner with LivWell's COO and clinical leadership to optimize overall revenue cycle performance. - Produce regular billing performance reports and present recommendations to leadership. - Lead cross-functional initiatives to improve intake-to-reimbursement workflows as LivWell scales into new states. Qualifications - Minimum 4–7 years of experience in medical billing, with at least 2 years focused on commercial insurance contracting or payer relations. - Experience in behavioral health or outpatient mental health billing strongly preferred. - Demonstrated experience negotiating payer contracts and managing contract renewals. - Thorough understanding of behavioral health carve-out payer structures (Optum Behavioral Health, Carelon, Magellan, Evernorth). - Working knowledge of MHPAEA parity requirements and their impact on behavioral health billing. - Experience managing or mentoring billing staff. - Proficiency in medical billing software, EHR systems, and data reporting tools. - Strong analytical, communication, and organizational skills. - Relevant certification (CPB, CPCO, CMRS, or CHFP) strongly preferred. Requirements - Compensation: $60,000 - $80,000 annually, DOE - Employment Type: Full-Time | Benefits-eligible