Billing & Follow-up Specialist

BetterHelp

16h•$60,000 - $80,000•Remote

About The Position

BetterHelp is on a mission to remove the traditional barriers to therapy and make mental health care more accessible to everyone. Founded in 2013, we are now the world’s largest online therapy service – providing affordable and convenient therapy across the globe. Our network of over 30,000 licensed therapists has helped millions of people take ownership of their mental health and change their lives forever. And we’re not stopping there – as the unmet need for mental health services continues to grow, BetterHelp is committed to being part of the solution. As a Billing and Follow-up Specialist, you'll be an important staff member in a newly formed department to bill and collect from insurance companies. You will work in a team to ensure we follow best practices for billing and follow-up tasks to maximize insurance reimbursement. We are looking for this candidate to possess experience in the healthcare sector, specifically within a back end revenue cycle function at a provider. They should have a solid understanding of the claim submission and follow-up process, with general exposure to denials and cash posting tasks. Strong communication and collaboration skills will also be important for the newly formed team to ensure a high level of success.

Requirements

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

Responsibilities

Review and prioritize follow-up activities requiring claim edits or general payer follow-up
Research claim hold 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