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WellPsyche Medical Group logo
WellPsyche Medical Group

We are a physician-led psychiatry practice on a mission to simplify mental health so you can be the best version of you.

Claims Follow-Up Lead

Executive AssistantExecutive AssistantOtherRemoteTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

108 days ago

Salary

0

No structured requirement data.

Job Description

Claims Follow-Up Lead

WellPsyche Medical Group

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Claims Follow-Up Lead is a senior, hands-on revenue cycle professional responsible for resolving complex denials, accelerating accounts receivable, and supporting daily claims workflow execution. This is a working lead role — not a full people management position — designed for someone who can both execute independently and elevate the performance of the follow-up team. The ideal candidate is experienced in behavioral health billing, government payers, and high-volume claims follow-up, and thrives in a fast-moving, accountability-driven environment. - High-Complexity Claims Resolution (Primary Function) - Follow up on denied, underpaid, and aged behavioral health claims. - Work complex government payers including: - Medi-Cal / Medicaid (FFS & Managed Care) - Medicare (Part B & Advantage) - VA Community Care (TriWest / Optum) - Submit appeals and corrected claims within timely filing limits. - Escalate payer issues strategically and track resolution outcomes. - A/R Performance Impact - Prioritize high-value and aging accounts. - Identify denial trends and root causes. - Proactively surface systemic billing issues to leadership. - Contribute directly to cash flow improvement. - Workflow Leadership - Act as subject-matter expert for junior follow-up staff. - Assist with daily work allocation and prioritization. - Support productivity and quality standards. - Participate in process improvements in a fast-moving environment. - Possess qualities supporting the company values of people matter, compassionate leadership, mamba mentality, WOW service. Qualifications - 3–5+ years behavioral health claims follow-up - Strong government payer experience - Experience in high-volume, multi-state billing - Ability to work independently in a remote setting - Comfortable in a startup environment with evolving processes Requirements - This is a currently a 100% remote role. - Must have a home office free from distractions and private for HIPAA purposes. - Be available during work hours via Zoom, Chat, phone and other communication methods. Benefits - 100% Remote Work – Enjoy the flexibility of working from home while eliminating commute time and costs. - Technology Support – We provide a company computer along with partial internet reimbursement to ensure you have the tools you need to succeed. - Comprehensive Health Benefits – Access to competitive health insurance plans designed to support your overall well-being. - Paid Time Off – We believe rest and personal time are essential for maintaining balance and preventing burnout. - Work/Life Balance – Our culture prioritizes flexibility, respect, and sustainable workloads. - Career Growth – As our organization continues to expand, we offer meaningful opportunities for professional development and advancement.

Job Requirements

  • 3–5+ years behavioral health claims follow-up
  • Strong government payer experience
  • Experience in high-volume, multi-state billing
  • Ability to work independently in a remote setting
  • Comfortable in a startup environment with evolving processes
  • This is a currently a 100% remote role.
  • Must have a home office free from distractions and private for HIPAA purposes.
  • Be available during work hours via Zoom, Chat, phone and other communication methods.

Benefits

  • 100% Remote Work – Enjoy the flexibility of working from home while eliminating commute time and costs.
  • Technology Support – We provide a company computer along with partial internet reimbursement to ensure you have the tools you need to succeed.
  • Comprehensive Health Benefits – Access to competitive health insurance plans designed to support your overall well-being.
  • Paid Time Off – We believe rest and personal time are essential for maintaining balance and preventing burnout.
  • Work/Life Balance – Our culture prioritizes flexibility, respect, and sustainable workloads.
  • Career Growth – As our organization continues to expand, we offer meaningful opportunities for professional development and advancement.

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