Billing Operations Lead

Summary

Join Resilience Lab's growing team as their Billing Operations Lead! This full-time, remote position requires 4-5+ years of revenue cycle management experience and expertise in medical billing, coding, accounts receivables, and collections. You will review billing activity, work with clinicians on billing and coding issues, educate new hires, ensure timely claim submissions, analyze claims data, and resolve disputes. Strong communication and organizational skills are essential. The ideal candidate will have behavioral health billing experience and proficiency in Excel. Resilience Lab offers competitive benefits, including 401k, health/dental/vision insurance, flexible PTO, equity grants, and opportunities for career growth.

Requirements

• 4-5+ years Revenue Cycle Management experience
• Self-starter with strong billing, coding, insurance verification, and claims follow-up skills
• Experience communicating with payers to resolve issues
• Proficient with Excel and data analysis
• Ability to navigate occasionally complex workflows
• Strong attention to detail
• Strong communication and interpersonal skills

Responsibilities

• Review billing activity history and transaction records to answer client billing questions
• Work cross-functionally with clinicians when coding, billing, insurance verification, and general insurance questions arise
• Educate clinician new hires around insurance, workflows, system features and common billing/coding questions
• Ensure timeliness of claim submissions
• Review claims to ensure payer requirements are satisfied
• Pull reports and analyze claims data to identify trends
• Support the Director of Revenue Cycle Management by resolving escalated disputes
• Lead improvement measures to address trending billing issues
• Collaborate with other team members and third party RCM partners to resolve outstanding issues
• Manage reconciliation projects, including reconciliation of payments between billing systems and payers
• Complete other assignments as requested and assigned
• Uphold HIPAA compliance guidelines

Preferred Qualifications

Behavioral health / mental health service line and telehealth billing experience

Benefits

• 401k
• Health/Dental/Vision
• Flexible and unlimited PTO
• Equity grant
• A start-up on an exciting growth journey
• Progressive role, career growth and frequent performance reviews
• Working within the mental health industry with a forward thinking and growing product
• Mental health tips and tools at our fingertips