[Hiring] Insurance Billing Lead @Legion Health

Role Description

As Insurance Ops Agent, you will play a critical role in delivering a delightful, accurate, and timely billing experience for patients. You’ll work with the Head of Revenue Operations and other members of the Revenue Cycle Management team to manage insurance claim denials, rejections, and holds to ensure that claims are properly submitted and reimbursed.

Responsibilities and Deliverables

• Oversee the end-to-end claims lifecycle from claim submission to insurance reimbursement by resolving claim holds and re-submitting / appealing claim denials.
• Resolve behavioral health claim denials for inactive coverage, coordination of benefits, prior authorization, documentation, non-covered services, credentialing, and coding.
• Investigate insurance claim denials and, when required, make Payer calls or message patients to resolve denials.

Qualifications

• 1+ years of Insurance claims management experience in Behavioral Health is a requirement.
• Experience making Payer calls and investigating claim denials.
• Familiarity with practice management softwares like Healthie & Candid Health is a plus.

Requirements

• Quickly and accurately resolve claims issues, processing 30+ claims per day.
• Have strong organization and tracking of follow-ups and escalations.
• Leverage strong systems thinking and drive issue resolution end-to-end.

Benefits

• Hourly Compensation: $5-15.
• Work Hours: Flexible.
• Work Setup: Fully Remote.
• Impact: Work on something that truly matters to millions of patients and families.

Role Logistics

• Job Type: Contract.
• Role Type: Operations.
• Ideal Experience Level: 2+ years of experience.
• Location: Fully Remote.
• US Visa Sponsorship: Not Relevant.

How to Apply and Hiring Process

• Overview of our hiring process:
• Resume + Application Screen.
• Founder Conversation.
• Technical Interview.
• Estimated time-to-hire: 2 weeks.
• Start date: ASAP.
• Hiring manager: Edwin Bang.

Equal Employment Opportunity

Legion Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees, contractors, and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other protected characteristic under applicable law. We encourage applicants from all backgrounds to apply.