Billing & Follow-Up Specialist

Summary

BetterHelp is an online therapy service focused on making mental health care more accessible. The Billing & Follow-Up Specialist will work on a revenue cycle management team to bill and collect from insurance companies, resolve claim issues, and maximize insurance reimbursement.

Responsibilities

• Review and prioritize follow-up activities requiring claim edits or general payer follow-up
• Research claim denial issues and resolve them in a timely manner to release claims to payers
• Contact insurance companies to understand delays in processing claims or sending payments and identify next steps to resolve them
• Investigate payment variance situations to understand root cause and next steps to resolve them
• Capture follow-up activities with clear, descriptive notes within the workflow application
• Support transition of claims to other staff in department with denial and cash posting tasks, as needed
• Prioritize and drive issue resolution with any partnering department, like Credentialing or Customer Success
• Identify trends in payer behavior and surface them for leadership review

Skills

• * Minimum of 4 years of experience in the healthcare space, preferably in an existing role doing billing and follow-up functions with insurance companies on behalf of providers
• * Understanding of the claim submission process and common pain points that delay payer acceptance and processing of bills
• * Understanding of the cash posting and reconciliation process and common pain points that delay payment processing
• * Exposure to clinicians that provide mental health and/or telehealth services
• * Comfortable with ambiguity and wants to assist leaders in developing strong operational processes for a new department
• * Desires an environment that fosters growth through open feedback and high autonomy
• * Believes in our company's mission to provide professional, affordable, and personalized therapy in a convenient online format

Qualifications

Must Haves

• * Minimum of 4 years of experience in the healthcare space, preferably in an existing role doing billing and follow-up functions with insurance companies on behalf of providers
• * Understanding of the claim submission process and common pain points that delay payer acceptance and processing of bills
• * Understanding of the cash posting and reconciliation process and common pain points that delay payment processing
• * Exposure to clinicians that provide mental health and/or telehealth services
• * Comfortable with ambiguity and wants to assist leaders in developing strong operational processes for a new department
• * Desires an environment that fosters growth through open feedback and high autonomy
• * Believes in our company's mission to provide professional, affordable, and personalized therapy in a convenient online format

Benefits

• Remote work with regular in-person bonding experiences sponsored by the company
• Travel expenses are covered for travel to the San Jose, CA office up to three times per year plus one company-wide offsite
• Holistic perks program (including free therapy, employee wellness, and more)
• Excellent health, dental, and vision coverage
• 401k benefits with employer matching contribution
• The chance to build something that changes lives – and that people love
• Any piece of hardware or software that will make you happy and productive
• An awesome community of co-workers
• Performance bonus