Senior Billing Specialist, Pre-Access

Senior Billing Specialist, Pre-Access

Location: Remote – United States

About the Senior Billing Specialist, Pre-access at Headspace Health:

We’re looking for a Senior Billing Specialist who can combine their healthcare experience with a fast-paced and ever-changing environment. You will be working with the Billing team to ensure timely and accurate financial clearance resolution, research and review authorization, referral, and eligibility escalations from the billing team, perform productivity and quality reporting, and document and improve team processes to ensure insurance billing is handled correctly from start to finish.

How your skills and passion will come to life at Headspace Health:

• Serve as a team lead for the Pre-Access pod within the RCM Team
• Support the team in navigating payer-specific nuances including but not limited to: authorizations, referrals, carve-outs, and TPA plans while meeting production and quality targets
• Structure pod worklists distribution and monitor pod for quality
• Identify trending authorization and eligibility issues; making recommendations to RCM and Finance leadership on financial clearance remediation strategies
• Communicate with patients to obtain financial information and verify insurance coverage
• Calculate patient financial responsibility and provide accurate cost estimates
• Coordinate with billing and coding departments to ensure proper coding and billing of services
• Ensure compliance with all relevant regulations and guidelines
• Maintain accurate and complete patient records in the electronic medical record system
• Provide training and support to other revenue cycle staff as needed
• Work with RCM leadership on creating and maintaining a productive, collaborative, and rewarding work environment
• Uphold HIPAA compliance guidelines

What you’ve accomplished:

• 5+ years Revenue Cycle Management experience and knowledge of medical claims and health plan / EAP rules
• 2+ years of experience in Financial Clearance
• 1+ year experience in supervisory and managerial positions
• Self-starter with strong billing, coding, and claims follow-up skills
• Behavioral health / mental health service line and telehealth billing experience preferred
• Experience working with payer provider relations teams on trending payer issues, as well as working cross functionally with other teams (including credentialing, support, contracting, account management) to improve internal workflows
• Proficient in Excel and data analysis
• Technically savvy with claims billing software and Microsoft Office, with a desire to learn new software as well
• Strong root cause and problem solving skills
• Ability to navigate occasionally complex workflows
• Strong attention to detail
• Strong communication and interpersonal skills

Preferred Qualifications:

• Experience in behavioral health, telehealth, or digital health
• Experience in B2B2C healthcare

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 $67,230-$94,500.

At Headspace Health, 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.

*Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on Headspace Health. Please inform our Talent team by filling out this form if you need any assistance completing any forms or to otherwise participate in the application or interview process.