Own member billing operations from invoice questions and refunds through subscription offboarding and disputes, while identifying recurring issues and improving billing policies, processes, and documentation.
Billing Support Specialist
๐ Description
- Manage assigned payers on the Revenue Cycle Management team.
- Investigate claim denials and resolve complex claims accurately.
- Prioritize claims and navigate changing payer requirements.
- Partner with cross-functional teams to identify denial and operational trends and improve workflows.
- Serve as a pod resource on payer workflows, claim resolutions, and operational standards.
- Support new-hire onboarding and share best practices with peers.
๐ ๏ธ Requirements
- 2+ years experience in a healthcare billing, insurance, patient relations, or medical claims role
- Comprehensive understanding of insurance policies, claim processing, appeals, and recoupment procedures
- Thorough knowledge of Denial Language and Carrier CARC Codes
- Expert understanding of The Life Cycle of a Claim
- A noted ability to apply critical thinking to evaluate complex cases, identify solutions, and make informed decisions
- Intermediate proficiency with Google Sheets/Excel, with the skills to format data, create basic charts, and create pivot tables independently
- Previous experience billing and collecting in mental/behavioral health space
- Working knowledge of medical coding, including the ability to identify coding-related denials, recognize billing discrepancies and support claim resolution (CPC certification a plus)
- Proficiency with electronic health record (EHR) systems, billing software, and platforms such as AdvancedMD, eClinicalWorks, athenahealth, etc.
- Ability to multitask, prioritize workloads, maintain a high attention to detail, and meet tight deadlines in a fast-paced environment
โจ Benefits
- Transparent pay ranges
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Disability insurance
- FSA/HSA
- 401(k) plan access
Full job description
At Rula, we are a remote-first company that believes mental health is just as important as physical health. We recognize that mental health issues can be complex and multifaceted, and we are dedicated to treating the whole person, not just the symptoms.
We aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being.ย
We believe that by providing quality care that is both evidence-based and compassionate, we can empower individuals to take charge of their mental health and achieve their full potential. We are passionate about making a positive impact on the lives of those struggling with mental health issues and we strive to be a force for positive change in the field of mental healthcare.
About the Role
We are seeking an experienced accounts receivable collector to manage assigned payers on the Revenue Cycle Management team. As a Billing Support Specialist, you will tackle complex billing challenges and drive operational excellence. In this individual contributor role, you will leverage your expertise to investigate claim denials, navigate evolving payer requirements, and ensure complex claims are prioritized and resolved accurately.
You will partner with cross-functional teams to investigate operational and denial trends, identifying key opportunities to optimize workflows and claim outcomes. Youโll act as the podโs go-to expert for payer workflows, claim resolutions, and operational standards, and help guide new-hire onboarding, resolve team questions, and elevate performance by embedding best practices across the pod. This role is ideal for a professional who enjoys using technical expertise, critical thinking, and collaboration to influence results, support peers, and enhance revenue cycle efficiency. If you are passionate about solving intricate problems and improving processes through data-driven insights, this role offers the opportunity to make a meaningful impact on our operational performance and the overall success of the revenue cycle.
Required Qualifications
2+ years experience in a healthcare billing, insurance, patient relations, or medical claims role
Comprehensive understanding of insurance policies, claim processing, appeals, and recoupment procedures
Thorough knowledge of Denial Language and Carrier CARC Codes
Expert understanding of The Life Cycle of a Claim
A noted ability to apply critical thinking to evaluate complex cases, identify solutions, and make informed decisions
Intermediate proficiency with Google Sheets/Excel, with the skills to format data, create basic charts, and create pivot tables independently
Preferred Qualifications
Previous experience billing and collecting in mental/behavioral health space
Working knowledge of medical coding, including the ability to identify coding-related denials, recognize billing discrepancies and support claim resolution (CPC certification a plus)
Proficiency with electronic health record (EHR) systems, billing software, and platforms such as AdvancedMD, eClinicalWorks, athenahealth, etc.
Ability to multitask, prioritize workloads, maintain a high attention to detail, and meet tight deadlines in a fast-paced environment
2+ years of experience interacting with offshore vendors, either/or as a partner, or leading directly
We're serious about your well-being! As part of our team, full-time employees receive:
100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments (must be based in United States, currently not hiring in Hawaii)
Attractive pay and benefits: Full transparency of pay ranges regardless of where you live in the United States
Comprehensive health benefits: Medical, dental, vision, life, disability, and FSA/HSA
401(k) plan access: Start saving for your future
Generous time-off policies: Including 2 company-wide shutdown weeks each year for self-care (for most employees)
Paid parental leave: Available for all parents, including birthing, non-birthing, adopting, and fostering
Employee Assistance Program (EAP): Supporting your mental and physical health
Quarterly department stipend: Fun team-building activities or in-person gatherings
Community and employee resource groups: Participate in groups that celebrate employee identity and lived experiences, fostering a sense of community and belonging for all
Home office stipend: New hire home office stipend & $50 monthly stipend to help cover internet or cell phone expenses
Wellness at Rula program: Year-round wellness initiatives and a $50/month wellness stipend
Our team
We believe that diversity, equity, and inclusion are fundamental to our mission of making mental healthcare work for everyone.ย We are dedicated to having a culture of inclusion that will support our employees in feeling safe, seen, heard, and valued.
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