About the RCM Associate at Headspace:

We're looking for an RCM Associate who can combine their healthcare experience with a fast-paced and ever-changing environment. You will be working with the RCM team to ensure timely and accurate claims submission, research and review exceptions, and document and improve team processes to ensure billing is handled correctly from start to finish. 

What you will do:

• Review claims to ensure correct and complete patient and insurance information. Confirm all information is obtained, including authorization and coding, to complete the billing process in a timely manner
• Follow up on aged insurance claims, work claim rejections / denials, and resolve payment variances (i.e. underpayment or overpayment)
• Review billing activity history and transaction records to answer member billing questions
• Conduct A/R clean-up projects, and provide SWAT team support for high risk billing areas
• Escalate recurring billing issues, and make recommendations on process and system improvement opportunities
• Work cross-functionally with clinicians when coding questions arise, and Member Support when ...