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National Youth Mental Health Foundation
Billing Associate
Location
California
Posted
23 days ago
Salary
$25 - $34 / hour
Seniority
Mid Level
Job Description
Billing Associate
headspace
• Verify insurance eligibility and benefits, ensuring accurate coverage details (e.g., copays, deductibles, visit limits) are documented prior to services. • Obtain and manage prior authorizations and referrals, ensuring payer requirements are met to support timely reimbursement. • Ensure accurate and up-to-date payer and member insurance information is maintained in systems to prevent claim rejections and delays. • Identify and resolve eligibility discrepancies, coverage issues, and missing information proactively. • Support members in navigating employer-sponsored benefits, EAP programs, and insurance coverage, helping them understand financial responsibility and access to care. • Respond to billing, eligibility, and coverage-related inquiries from members with clarity, accuracy, and empathy. • Partner with internal teams (clinical, operations, customer support) and external stakeholders (payers, employer partners) to resolve eligibility and authorization issues. • Serve as a subject matter resource for front-end RCM workflows and payer requirements. • Own assigned worklists ensuring completion within established productivity, quality, and SLA expectations. • Resolve claim denials due to eligibility or authorization related issues. • Prioritize daily work effectively across competing deadlines, understanding how tasks impact downstream billing and member experience. • Apply established workflows and sound judgment when resolving eligibility and authorization issues. • Maintain accurate and complete documentation of eligibility checks, authorizations, and member interactions to support auditability and compliance. • Identify trends in eligibility errors, authorization delays, claim denials, or payer issues, and escalate or suggest process improvements. • Support audits and quality reviews related to financial clearance processes. • Contribute to process improvements, including automation and system enhancements, to improve efficiency and reduce manual work. • Collaborate with internal and external stakeholders to resolve complex eligibility, authorization, and coverage issues. • Escalate high-risk or time-sensitive cases appropriately to prevent care delays or claim denials. • Identify workflow gaps and contribute to solutions that improve financial clearance accuracy and efficiency.
Job Requirements
- 2–3+ years of experience in healthcare revenue cycle, eligibility verification, authorizations, or related operational roles
- Working knowledge of insurance eligibility, benefits, authorizations, and payer requirements
- Strong attention to detail and ability to maintain accuracy in high-volume workflows
- Ability to manage multiple priorities and meet productivity and SLA expectations
- Strong problem-solving skills and ability to navigate ambiguous or incomplete information
- Excellent communication skills, with the ability to explain complex insurance concepts clearly to members and stakeholders.
- Experience with EAPs, employer-sponsored benefits, and behavioral health coverage (preferred)
- Familiarity with payer portals, eligibility tools, and authorization systems (preferred)
- Experience in member-facing support or customer service within healthcare (preferred)
- Experience with process improvement, automation, or AI-enabled workflow initiatives (preferred)
Benefits
- Comprehensive healthcare coverage
- Monthly wellness stipend
- Retirement savings match
- Lifetime Headspace membership
- Generous parental leave
- Stock awards
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