Remote – United States
About the Billing Specialist role at Headspace:
We’re looking for a Billing Specialist who can combine their healthcare experience with a fast-paced and ever-changing environment. You would be working with the Billing team to ensure timely and accurate claims submission, research and review exceptions, and document and improve team processes to ensure billing is handled correctly from start to finish.
What you will do:
Review claims to ensure correct and complete patient and insurance information. Confirm all information is obtained, including authorization and coding, to complete the billing process in a timely manner
Follow up on aged insurance claims, work claim rejections / denials, and resolve payment variances (i.e. underpayment or overpayment)
Review billing activity history and transaction records to answer member billing questions
Conduct A/R clean-up projects, and provide SWAT team support for high risk billing areas
Escalate recurring billing issues, and make recommendation on process and system improvement opportunities
Work cross-functionally with clinicians when coding questions arise, and Member Support when billing / collection questions arise
Collaborate with payer and vendor partners to resolve billing issues, and assist in the internal and external audit processes
Build reports and analyze claims data to identify trends
Completes other assignments as requested and assigned
Uphold HIPAA compliance guidelines
Required Qualifications:
3+ years Revenue Cycle Management experience and knowledge of medical claims in behavioral health / mental health service line and telehealth billing
Experience communicating with payers to resolve issues
Proficient with Excel and data analysis
Ability to navigate occasionally complex workflows
Strong attention to detail
Technically savvy with claims billing software and Microsoft Office, with a desire to learn new software as well
Strong communication and interpersonal skills
Passionate advocate for members and strong steward of company revenue
Preferred Qualifications:
Experience with B2B contracts and EAP programs preferred
Pay & Benefits:
The base salary range for this role is determined by a number of factors, including but not limited to skills and scope required, relevant licensure and certifications, and unique relevant experience and job-related skills. The base salary range for this role is $28/hr-$35/hr.
At Headspace, cash salary is but one component of our Total Rewards package. We’re proud of our robust package inclusive of: base salary, stock awards, comprehensive healthcare coverage, monthly wellness stipend, retirement savings match, lifetime Headspace membership, unlimited, free mental health coaching, generous parental leave, and much more. Paid performance incentives are also included for those in eligible roles. Additional details about our Total Rewards package will be provided during the recruitment process.
