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Billing Specialist I

2 months ago

Denver, United States SonderMind Careers Full time
Job DescriptionJob Description

About SonderMind

At SonderMind, we know that therapy works. SonderMind provides accessible, personalized mental healthcare that produces high-quality outcomes for patients. SonderMind's individualized approach to care starts with using innovative technology to help people not just find a therapist, but find the right, in-network therapist for them, should they choose to use their insurance. From there, SonderMind's clinicians are committed to delivering best-in-class care to all patients by focusing on high-quality clinical outcomes. To enable our clinicians to thrive, SonderMind defines care expectations while providing tools such as clinical note-taking, secure telehealth capabilities, outcome measurement, messaging, and direct booking. 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, Linkedin, and Twitter.

About the Role

As a Healthcare Billing Specialist you will be responsible for all revenue operations activities from benefits verification to 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.

Essential Functions

  • Review client benefit verification responses
  • Handle client and provider billing inquiry escalations
  • Reprocessing and submitting insurance claims for payment
  • Resolve outstanding client balances through claims reconciliation with Managed Care payors

What does success look like?

  • Within one week, be able to understand the full revenue cycle including learning processes, adapting tools, and become familiarized with revenue workflow
  • Within two weeks, be able to communicate directly with clients and providers answering and resolving billing/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 blank 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 company goal to increase collections rates between 92-95% as an individual contributor
  • Ongoing, be able to effectively adhere to internal Revenue Operations processes and complete daily tasks in a timely manner

Who You Are

Required Education/Experience

  • Knowledge of insurance plans and contractual arrangements affecting payments
  • 1+ years of direct customer service in the healthcare industry or related field
  • Insurance collection experience (benefit verification, billing and collection, appeals.)
  • Demonstrated accounts receivable experience
  • Comfort and interest in working in a fast-paced, ever evolving environment
  • Intermediate Excel skills

Preferred Education/Experience

  • Demonstrated success in revenue-cycle innovation
  • Experience in a start-up environment
  • Self-motivated and driven

Our Benefits

The anticipated salary rate for this role will be $21.00-24.00 per hour.

As a leader in redesigning behavioral health, we are walking the walk with our employee benefits. We want the experience of working at SonderMind to accelerate people's careers and enrich their lives, so we focus on meeting SonderMinders wherever they are and supporting them in all facets of their life and work.

Our benefits include:

  • A commitment to fostering flexible hybrid work
  • A generous PTO policy with a minimum of three weeks off per year
  • Free therapy coverage benefits to ensure our employees have access to the care they need (must be enrolled in our medical plans to participate)
  • Competitive Medical, Dental, and Vision coverage with plans to meet every need, including HSA ($1,100 company contribution) and FSA options
  • Employer-paid short-term, long-term disability, life & AD&D to cover life's unexpected events. Not only that, we also cover the difference in salary for up to seven (7) weeks of short-term disability leave (after the required waiting period) should you need to use it.
  • Eight weeks of paid Parental Leave (if the parent also qualifies for STD, this benefit is in addition which allows between 8-16 weeks of paid leave)
  • 401K retirement plan with 100% matching which immediately vests on up to 4% of base salary
  • Travel to Denver 1x a year for annual Shift gathering
  • Fourteen (14) company holidays
  • Company Shutdown between Christmas and New Years
  • Supplemental life insurance, pet insurance coverage, commuter benefits and more

Application Deadline

This position will be an ongoing recruitment process and will be open until filled.

Equal Opportunity
SonderMind does not discriminate in employment opportunities or practices based on race, color, creed, sex, gender, gender identity or expression, pregnancy, childbirth or related medical conditions, religion, veteran and military status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition (including genetic information or characteristics), sexual orientation, or any other characteristic protected by applicable federal, state, or local laws.