Billing Specialist

Billing Specialist ABOUT SONDERMIND At SonderMind, we believe everyone deserves one personalized, connected, and effective mental health destination to take care of their mental health and well-being at any stage of life. SonderMind care encompasses everything from therapy and medication management to meditation and mindfulness exercises. Our clinicians leverage our digital tools and research to deliver increasingly high-quality care and to develop thriving practices. Combining technology and human connection, SonderMind drives better outcomes through our comprehensive approach. Learn more about SonderMind at sondermind.com or download the mobile app, available on iOS and Android. To follow the latest SonderMind news, get to know our clients, and learn about what it’s like to work at SonderMind, you can follow us on Instagram https://www.instagram.com/sondermind/?hl=en, Linkedin https://www.linkedin.com/company/sondermind/, and Twitter https://twitter.com/SonderMind?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor. ABOUT THE ROLE As a Healthcare Billing Specialist you will be responsible for all revenue operations activities from benefits verification, claim reconciliations, resolving client billing tickets and payment collections. This position will report directly to the Associate Manager of Billing and will work closely with other functional areas in the department including customer success to promote the highest level of patient satisfaction. You will be joining a team that is highly collaborative, supportive, and adaptable. Successful candidates will be able to communicate effectively both to internal stakeholders as well as insurance representatives, think critically to resolve issues, be willing to learn, be open to feedback, and be champions of the SonderMind brand while working in a fully remote environment. This is an excellent opportunity for those with 3+ years of experience in the full revenue cycle, particularly with Managed care Payors and Government Payors. Your journey at SonderMind will be about more than just a job; it will be about personal fulfillment, professional growth, and the chance to leave a lasting legacy in the world of mental health. WHAT YOU’LL DO - Resolve aging AR through root cause analysis and follow up remediation actions. - Handle client and provider billing inquiry escalations - Investigate, appeal and resolve denied or underpaid claims - Resolve outstanding client and insurance balances through claims reconciliation with Managed Care payors - Communicate with providers and support teams to correct billing issues and or provide clear answers to billing tickets. - Other responsibilities and ad-hoc projects from time to time based on business needs. WHAT DOES SUCCESS LOOK LIKE? - Within one week: Be able to understand the full revenue cycle, including learning processes, adapting to tools, and becoming familiar with the revenue workflow. - Within two weeks: Be able to communicate directly with clients, providers and CS teams answering and resolving billing and claim issues; dive into claims submission and research rejected, incorrect, or outstanding claims and/or patient issues. - Within one month: Be able to see positive accounts receivable collection improvements through payment posting, working outstanding AR, and charging outstanding cost share in the charging queue. - Within two months: Be able to see positive revenue workflow efficiency, with the company goal to increase collection rates to 98% as an individual contributor. - Ongoing: Be able to effectively adhere to internal Revenue Operations processes and maintain the productivity metric. WHO YOU ARE Required Education/Experience: - High school/GED preferred - Knowledge of insurance plans and contractual arrangements affecting payments - Strong knowledge of CPT and ICD-10 coding. - 2+ years of direct customer service in the healthcare industry or related field - 3+ years of Insurance collection expe ... (truncated, view full listing at source)