Billing and Follow-Up Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Evaluate and prioritize follow-up actions that necessitate claim adjustments or general payer engagement.

• Investigate issues related to claim denials and address them promptly to facilitate the release of claims to payers.

• Communicate with insurance providers to ascertain delays in claim processing or payment issuance and determine subsequent steps for resolution.

• Analyze payment discrepancies to identify root causes and outline next steps for resolution.

• Document follow-up activities with clear and detailed notes within the workflow application.

• Assist in the transition of claims to other team members within the department for denial and cash posting tasks, as necessary.

• Prioritize and drive issue resolution in collaboration with associated departments, such as Credentialing or Customer Success.

• Recognize trends in payer behavior and report them for leadership evaluation.

⛳️ Requirements

• At least 4 years of experience in the healthcare sector, ideally in a position focused on billing and follow-up activities with insurance companies on behalf of providers.

• Familiarity with the claim submission process and common challenges that hinder payer acceptance and bill processing.

• Knowledge of the cash posting and reconciliation process along with common challenges that slow down payment processing.

• Experience with clinicians providing mental health and/or telehealth services.

• Comfortable navigating ambiguity and eager to assist leaders in establishing robust operational processes for a new department.

• Seeks an environment that promotes growth through open feedback and a high degree of autonomy.

• Shares the company's mission to deliver professional, affordable, and personalized therapy in a convenient online format.

🏝️ Benefits

• Remote work complemented by regular in-person bonding activities sponsored by the company.

• Competitive salary packages.

• Comprehensive perks program (including free therapy, employee wellness initiatives, and more).

• Excellent health, dental, and vision insurance coverage.

• 401k plan with employer matching contributions.

• The opportunity to contribute to initiatives that positively impact lives and are well-received.

• Access to any hardware or software that enhances your happiness and productivity.

• A vibrant community of colleagues.

• Performance-based bonuses.