Billing and Claims Associate

Talkspace Corporate•New York, NY

7d•$22 - $25•Remote

About The Position

At Talkspace, we are committed to fostering a diverse, equitable, inclusive, and belonging-centered workplace where everyone can thrive while making a difference in mental health. Want to help over two million people receive quality mental healthcare? Come join our mission of getting therapy in the hands of everyone! We are looking for a Billing and Claims Associate to join our Customer Support team. You'll play a pivotal role in delivering exceptional service to our clients. Utilizing internal resources and knowledge materials, you'll educate clients on our billing and claims procedures, swiftly addressing escalated inquiries with empathy and accuracy. As a key member of our team, you'll provide white-glove service to our clients, ensuring they feel cared for and supported in every interaction. You'll also contribute to process improvement initiatives, recommending updates to knowledge materials and suggesting improvements to support processes, all aimed at enhancing productivity and client satisfaction. In addition to your client-facing responsibilities, you'll collaborate closely with internal stakeholders, serve as an onboarding buddy to new hires, and maintain open communication with your team and supervisor. If you're passionate about delivering outstanding client experiences, thrive in a collaborative environment, and are eager to make a meaningful impact, we invite you to join us at Talkspace. To work at Talkspace, you need to be as passionate as we are about our work, and excited to partner with us on delivering quality mental healthcare. This is a remote position based in Eastern Time. Talkspace HQ is located in NYC.

Requirements

2+ years experience with health insurance claims or support environment, required; preferably in a phone/email/chat support-related capacity.
Knowledge of Behavioral Health terminology (ie CPT Codes) and understanding of Insurance benefits ( ie: copy, coins and deductible), required.
Knowledge of and ability to comply with PHI and HIPAA guidelines when working with sensitive material, required.
Familiarity working within payor portals, third party healthcare clearinghouses, required; Zendesk, Atlassian (Jira, Confluence) is a plus.
High School diploma or equivalent preferred.
Excellent written and verbal communication skills.
Highly organized and detail-oriented.
Passionate about providing top-tier support.
Ability to work independently, as this is a remote team, and maintain consistent communication with Supervisor.
Ability to meet productivity and quality benchmarks set by leadership.
Ability to multi-task in various systems + programs.
Experience (or strong interest) in working in a fast-paced, rapidly changing environment.
Dependable internet connection required.
~50-60 wpm - https://www.typingpal.com/en/

Nice To Haves

Experience in the tele-health, tele-therapy, medical insurance industries is a plus.
A 4-year college degree is a plus.

Responsibilities

Use internal knowledge materials + resources to educate Talkspace clients on our billing and claims procedures, and quickly and accurately respond to escalated service-related billing inquiries from existing members, including but not limited to questions related to enrollment errors, refund requests, claims adjustments, superbill requests, etc.
Resolve complex and/or escalated inquiries that require investigation and a high degree of empathy, ensuring every interaction with Talkspace leaves our clients feeling cared for, understood and supported.
Participate in non-inbound volume related department operations speciality projects aimed to further support our clients in their full journey at Talkspace, ie.
Charge disputes
Medical records request for billing records
Billing affidavits (written and verbal)
Conduct outbound calls to payors, obtain member EAP authorization, and discuss claim submissions on a case by case basis.
Draft and provide superbills to clients when requested, as needed.
Serve as company claims SME and collaborate with internal stakeholders on billing and claims-related ad hoc projects, as assigned.
Work closely with our Client Support team, providing status updates on known payer issues and assisting with client escalations, as needed.
Provide white glove service to all our members, infusing empathy and kindness in all replies, and following up with clients when necessary to ensure resolution.
Keep up with business updates to ensure the assistance provided is accurate and up to date.
Identify client contact reason trends and roll up any potential issues affecting a specific segment of clients to leadership daily, as needed.
Contribute to the improvement of our department by suggesting updates to departmental knowledge materials + resources (internal knowledge base, correspondence templates).
Recommend changes to existing support processes and/or implementation of new standard processes aimed at improving productivity, job satisfaction, and our client experience.
Serve as onboarding buddy to department new hires and participate in onboarding training as SME, as needed.
Attend all department meetings (ie. coaching sessions, recurring 1:1s, ongoing training lessons), as scheduled.
Maintain regular communication with your Supervisor and team, daily.
Performs other related duties as assigned.

Benefits

Comprehensive Medical, Dental and Vision plans coverage since day one
Pre-tax benefits: HSA/ FSA
401k Retirement Savings Program with matching up to 4%
Voluntary benefits including disability, basic life or pet insurance, etc.
Monthly Wellness Stipend to promote mental and physical self-care
Flexible PTO and Remote First Environment
Regular team events, including Wellness Workshops and Team Building Events
Free access to Talkspace products for you and one household member, as well as access to a friends and family discount!

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