Headspace

Billing Specialist

Headspace

full-time

Posted on:

Location Type: Hybrid

Location: United States

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Salary

💰 $31 - $39 per hour

About the role

  • Work assigned worklists of complex and high-risk accounts, meeting productivity and quality targets while driving timely A/R resolution.
  • Own key insurance collections workflows (e.g., recoupments) and billing / coding accuracy processes (e.g. coding and billing quality audits) end-to-end, driving complete, accurate, and SLA-compliant execution.
  • Resolve claim issues across rejections, denials, and underpayments through payer portal review, payer outreach, documentation review, and escalation pathways.
  • Research, review, and resolve exceptions and escalations surfaced by teammates and cross-functional partners, bringing issues to closure with strong documentation.
  • Maintain high-quality claim notes and documentation standards to ensure auditability, continuity, and efficient handoffs.
  • Conduct special projects (e.g. targeted payer issue review, A/R clean-up, etc.) and provide "SWAT" support for high-risk billing areas when needed to reduce write-offs and address aging risk.
  • Support weekly / monthly reporting and reconciliation activities and ensure accurate tracking of collections progress and payer behavior.
  • Assist with monitoring workload and KPIs, and contribute to the design and implementation of system / process changes and improvement initiatives.
  • Contribute to productivity and quality reporting processes, flagging gaps, trends, and opportunities to improve operational performance.
  • Partner in delivering team training and strengthening SOP documentation to drive standardized, high-quality execution.
  • Actively identify and advance AI and automation opportunities within collections workflows, partnering on pilots and driving adoption to improve efficiency and accuracy.
  • Conduct ongoing coding and billing accuracy reviews, implement corrective actions as needed, and partner with Clinical and QA teams to identify retraining and performance improvement opportunities.
  • Identify trending claim issues and root causes (rejections, denials, underpayments) and recommend practical remediation strategies to improve collections performance.
  • Recommend solutions to enhance existing workflows and leverage available resources to overcome unforeseen issues (e.g., payer constraints, system limitations, unclear routing).
  • Prioritize between competing work and project deliverables with sound judgment, communicating assumptions and clarifying requirements up front to minimize rework.
  • Identify opportunities to standardize, automate, and reduce manual processes across collections workflows; support testing and adoption of improvements.
  • Partner with Product and Engineering on testing and validation of RCM workflow enhancements (e.g., UAT support, requirements feedback) when needed.
  • Work cross-functionally with internal teams (e.g., Clinical, Provider Ops, Client/Account partners, Member Support, etc.) to implement and optimize workflows for new and existing health plans, clients, and members.

Requirements

  • 5+ years of Revenue Cycle Management experience with strong knowledge of medical claims and health plan/EAP rules.
  • Strong claims follow-up skills across denials, rejections, and underpayments; ability to independently drive resolution to closure.
  • Strong root-cause problem solving and attention to detail; high bar for accuracy and documentation.
  • Ability to prioritize effectively across competing work and communicate assumptions/needs early to reduce rework and unblock progress.
  • Proficiency in Excel and comfort using data to support reporting, reconciliation, and operational decision-making.
  • Strong communication and interpersonal skills; ability to collaborate cross-functionally in a fast-paced environment.
Benefits
  • base salary
  • stock awards
  • comprehensive healthcare coverage
  • monthly wellness stipend
  • retirement savings match
  • lifetime Headspace membership
  • generous parental leave
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
Revenue Cycle Managementmedical claimsbilling accuracycoding accuracyclaims follow-uproot-cause problem solvingdata analysisreportingreconciliationprocess improvement
Soft Skills
attention to detailprioritizationcommunicationinterpersonal skillscollaborationjudgmentdocumentationproblem solvingtrainingadaptability