Offer summary

Qualifications:

Educational background and certifications in healthcare and billing or credentialing required., 2 years of healthcare experience, preferably in authorization, billing, or credentialing., Extremely detail-oriented with strong prioritization skills., Database management experience and familiarity with project management tools preferred..

Key responsabilities:

Create and maintain prior authorization workflows and reporting.

Verify insurance eligibility, benefits, and cost estimates for patients prior to service.

Review and process health insurance claims accurately using medical coding and billing software.

Monitor accounts receivable aging and follow up on unpaid claims to ensure timely payment.

Job description

*Position is remote

**Hours are M-F from 4-9PM CST

Who we are:

Bend Health is revolutionizing the treatment of mental health conditions for kids and teens. Our innovative technology achieves better outcomes and leads to happier, healthier lives while ensuring stigma, costs, and logistics are no longer barriers. Come and be part of a fun, collaborative, supportive, motivated, and mission- and data-driven team that’s creating the first scalable and integrated model in mental healthcare for kids and teens. Help us shape the future of pediatric mental health and bend the healthcare system to work better for everyone.

Today’s world can be intense and stressful, and it’s taking an unprecedented toll on kids, teens, and families. Bend Health’s collaborative care model relies on an evidence-based approach to help families manage the ups and downs of everyday life.

We are looking for a Contractor/1099, Health Insurance & Billing Specialist passionate about whole-person, whole-family mental health care to join our team. This position reports to the Senior Revenue Cycle Manager.

What you’ll do:

Help create and maintain prior authorization workflows and reporting.
Request and coordinate Initial and Continuing Prior Authorizations for patient’s as per the insurance companies’ guidelines.
Verification: Verify insurance eligibility, benefits, cost estimates, and out of pocket estimates for patients prior to service, and update patient records accordingly.
Claims Processing: Review and process health insurance and health system partner claims accurately and efficiently using appropriate medical coding and billing software.
Billing: Generate and send patient statements for outstanding balances not covered by insurance and assist patients with payment arrangements or financial assistance options.
Assist with month end billing submission and reconciliation work.
Claim Submission: Submit claims to insurance companies, payers, health system partners, and government payers in accordance with established guidelines and deadlines.
Claim Submission: Submit claims to insurance companies, payers, health system partners, and government payers in accordance with established guidelines and deadlines.
Denial Management: Investigate and resolve claim denials and rejections promptly, including appealing denied claims as necessary.
Follow-up: Monitor accounts receivable aging for patient liability, insurance balances, follow up on unpaid claims, and initiate appeals or inquiries as needed to ensure timely payment.
Follow-up: Monitor accounts receivable aging for patient liability, insurance balances, follow up on unpaid claims, and initiate appeals or inquiries as needed to ensure timely payment.
Answer billing, benefit, and insurance inquiries from internal staff, patients, and insurance companies.
Other duties as assigned

Who you are:

A great people person that is willing to work collaboratively with multiple departments and vendors
Extremely detail oriented and able to prioritize tasks accordingly
Educational background and certifications in healthcare and billing and/or credentialing required
2 years healthcare experience preferably in authorization, billing, credentialing or comparable department
Database management experience preferred
Experience using project management tools preferre

The salary range for United States residents is $20 - $27/hr. Pay is based on several factors including but not limited to education, work experience, certifications, etc. Come join us to expand access to quality mental health care for kids, teens, and families!

We want to inform you regarding fraudulent postings and communications from individuals posing as Bend Health employees to job seekers. Please look at our current openings to ensure they match with third-party job hosting sites. If you are applying for a position with us, we will always take the following steps:

We will only email you from the @bendhealth.com domain
Our screenings and interviews will be via phone or Zoom/Google Meets Video - Never chat or instant message
We will not send you a check until you are actively employed
We will never ask you for personal payment or require you to purchase equipment

We are here to help if you have any questions or concerns about a job posting. Please reach out directly to hiring@bendhealth.com for inquiries. Thank you again for your interest and we look forward to connecting with you!

At Bend Health, we believe that our diverse perspectives are our biggest strengths - and that embracing them will create real change in healthcare. As an equal opportunity employer, we are committed to building an inclusive environment where you can be you.

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