RCM Associate
Location: Remote –United States
Job Description:
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 billing / collection questions arise
- Collaborate with payer and vendor partners to resolve billing issues, and assist in both internal and external audit processes
- Build reports and analyze claims data to identify trends
- Completes other assignments as requested and assigned
- Uphold HIPAA compliance guidelines
What you will bring:
Required Qualifications:
- 2-3+ years Revenue Cycle Management experience and knowledge of medical claims
- Experience communicating with payers to resolve issues
- Proficient with Excel and data analysis
- Ability to navigate occasionally complex workflows
- Strong attention to detail
- Technically savvy with claims billing software and Microsoft Office, with a desire to learn new software as well
- Strong communication and interpersonal skills
- Passionate advocate for members and strong steward of company revenue
Preferred Qualifications:
- RCM experience in behavioral health / mental health service line and telehealth billing
- Experience with B2B contracts and EAP programs preferred
Pay &Benefits:
The base salary range for this role is determined by a number of factors, including but not limited to skills and scope required, relevant licensure and certifications, and unique relevant experience and job-related skills. The base salary range for this role is $22-$30/hour.
At Headspace, cash salary is but one component of our Total Rewards package. We’re proud of our robust package inclusive of: base salary, stock awards, comprehensive healthcare coverage, monthly wellness stipend, retirement savings match, lifetime Headspace membership, unlimited, free mental health coaching, generous parental leave, and much more. Paid performance incentives are also included for those in eligible roles. Additional details about our Total Rewards package will be provided during the recruitment process.
How we feel about Diversity, Equity, Inclusion and Belonging:
Headspace is committed to bringing together humans from different backgrounds and perspectives, providing employees with a safe and welcoming work environment free of discrimination and harassment. We strive to create a diverse &inclusive environment where everyone can thrive, feel a sense of belonging, and do impactful work together.
As an equal opportunity employer, we prohibit any unlawful discrimination against a job applicant on the basis of their race, color, religion, gender, gender identity, gender expression, sexual orientation, national origin, family or parental status, disability*, age, veteran status, or any other status protected by the laws or regulations in the locations where we operate. We respect the laws enforced by the EEOC and are dedicated to going above and beyond in fostering diversity across our workplace.
*Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on Headspace. Please inform our Talent Acquisition team by filling out this form if you need any assistance completing any forms or to otherwise participate in the application or interview process.
Headspace participates in the E-Verify Program.
Privacy Statement
All member records are protected according to our Privacy Policy. Further, while employees of Headspace (formerly Ginger) cannot access Headspace products/services, they will be offered benefits according to the company’s benefit plan. To ensure we are adhering to best practice and ethical guidelines in the field of mental health, we take care to avoid dual relationships. A dual relationship occurs when a mental health care provider has a second, significantly different relationship with their client in addition to the traditional client-therapist relationship—including, for example, a managerial relationship.
As such, Headspace requests that individuals who have received coaching or clinical services at Headspace wait until their care with Headspace is complete before applying for a position. If someone with a Headspace account is hired for a position, please note their account will be deactivated and they will not be able to use Headspace services for the duration of their employment.
Further, if Headspace cannot find a role that fails to resolve an ethical issue associated with a dual relationship, Headspace may need to take steps to ensure ethical obligations are being adhered to, including a delayed start date or a potential leave of absence. Such steps would be taken to protect both the former member, as well as any relevant individuals from their care team, from impairment, risk of exploitation, or harm.
For how how we will use the personal information you provide as part of the application process, please see: https://www.headspace.com/applicant-notice