Billing Operations Specialist

Summary

Join Octave's Revenue Cycle team as a Billing Specialist, serving as the primary point of contact for clients nationwide. Manage a high volume of billing inquiries, utilizing various platforms for eligibility checks, invoice generation, payment processing, and insurance claim submissions. Maintain clear communication with clients, clinicians, and internal teams. Adhere to standard operating procedures and actively seek process improvements. Flexible scheduling is required to support clients in different time zones. The role reports directly to the Revenue Cycle Manager. This position is ideal for customer service-oriented problem-solvers who thrive in a dynamic startup environment. The position offers a competitive salary and benefits package.

Requirements

• 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.)
• 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
• Ability to work the following schedule (hours/days): Four days Monday to Friday: 9am to 6pm PST OR 10am to 7pm PST plus one weekend day (Saturday OR Sunday) 9am to 5:30pm PST

Responsibilities

• Organizes and conveys information clearly and concisely through timely, warm, and precise communication with clients, clinicians, and other Octave employees
• Efficiently works 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 utilizes 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
• Adheres to standard operating procedures to guarantee information is complete, accurate, clear, and concise
• Performs follow-up actions to ensure work quality, task completion, and alignment with individual and department goals
• Communicates effectively with health plans to obtain necessary information and resolve issues
• Handles incoming client inquiries efficiently, ensuring timely responses and applying specialized knowledge for successful resolution
• Actively seeks innovative ways to streamline processes and enhance efficiency as Octave grows

Preferred Qualifications

• 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
• Google Suite & Apple MacBook experience preferred

Benefits

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