Billing Operations Specialist

Summary

Join Octave's Revenue Cycle team as a Billing Specialist and become a key point of contact for clients nationwide, managing billing inquiries. This role requires strong customer service skills, problem-solving abilities, and proficiency in various software systems. You will handle eligibility checks, generate invoices, process payments, submit insurance claims, and respond to client inquiries. Flexibility is needed to support clients in different time zones. The position reports to the Revenue Cycle Manager and offers opportunities for process improvement and professional growth. Octave values a supportive and collaborative work environment.

Requirements

• Be open to flexible schedules, including Pacific Standard Time hours when needed
• Be eligible to work in the United States without sponsorship now or in the future

Responsibilities

• Organize and convey information clearly and concisely through timely, warm, and precise communication with clients, clinicians, and other Octave employees
• Efficiently work across various platforms to perform eligibility checks, generate invoices/super bills, process and post payments daily, submit insurance claims, and respond to clients’ billing inquiries
• Efficiently utilize multiple software systems to perform eligibility checks, generate superbills, process and post payments, submit insurance claims, respond to patient billing inquiries, and alert management of potential concerns
• Adhere to standard operating procedures to guarantee information is complete, accurate, clear, and concise
• Perform follow-up actions to ensure work quality, task completion, and alignment with individual and department goals
• Communicate effectively with health plans to obtain necessary information and resolve issues
• Handle incoming client inquiries efficiently, ensuring timely responses and applying specialized knowledge for successful resolution
• Actively seek innovative ways to streamline processes and enhance efficiency as Octave grows

Preferred Qualifications

• Minimum 2 year experience working in healthcare administration (e.g. front office, insurance or patient billing, medical claims & coding, insurance verification,  in-network and out-of-network payers, etc.)
• Google Suite & Apple MacBook experience
• Demonstrated expertise in customer service, emphasizing the importance of delivering exceptional customer experiences and managing effective interactions
• Proficient in written communication, live chat, and phone support
• Exceptional attention to detail
• Superior written and verbal communication skills
• High proficiency in multitasking across various systems
• Adept at managing client phone calls related to billing and explanations of benefits
• Willingness to undertake tasks beyond the defined role, demonstrating eagerness to learn and grow
• Ability to handle delicate or sensitive situations with discretion and care
• Strong passion for mental health and wellness
• Ability to work the following schedule (hours/days): Saturday OR Sunday 9am to 5pm PT AND Any other 4 (consistent) days Monday - Friday 8am to 4pm PT

Benefits

• Company sponsored life insurance, disability and AD&D plans
• Voluntary benefits such as 401k retirement, medical, dental, vision, FSA, HSA, dependent care and commuter/parking options
• Generous Paid Time Off
• Paid parental leave benefits