Betterhelpcom Billing & Follow-Up Specialist at BetterHelp to manage insurance claim billing and collections. Responsible for claim follow-up, denial resolution, and collaboration with internal departments.
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
Qualification
Required
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