Billing Associate

Headspace

6h•Remote

About The Position

The Billing Associate, RCM is responsible for supporting front-end revenue cycle workflows, with a focus on financial clearance, insurance eligibility, and authorization processes. This role plays a critical part in ensuring members are financially cleared for services, payer information is accurate, and coverage requirements are met prior to care delivery. You will work across eligibility verification, benefits navigation, and authorization/referral workflows, while also supporting members and internal teams with billing, member collections, and coverage-related questions. This role requires strong attention to detail, empathy in member interactions, and the ability to navigate multiple payer systems and requirements. This is a foundational role within RCM, where you will build subject matter expertise, consistently meet productivity and quality expectations, and contribute to process improvements that enhance the member financial experience and revenue integrity.

Requirements

2–3+ years of experience in healthcare revenue cycle, eligibility verification, authorizations, or related operational roles
Working knowledge of insurance eligibility, benefits, authorizations, and payer requirements
Strong attention to detail and ability to maintain accuracy in high-volume workflows
Ability to manage multiple priorities and meet productivity and SLA expectations
Strong problem-solving skills and ability to navigate ambiguous or incomplete information
Excellent communication skills, with the ability to explain complex insurance concepts clearly to members and stakeholders

Nice To Haves

Experience with EAPs, employer-sponsored benefits, and behavioral health coverage
Familiarity with payer portals, eligibility tools, and authorization systems
Experience in member-facing support or customer service within healthcare
Experience with process improvement, automation, or AI-enabled workflow initiatives

Responsibilities

Verify insurance eligibility and benefits, ensuring accurate coverage details (e.g., copays, deductibles, visit limits) are documented prior to services.
Obtain and manage prior authorizations and referrals, ensuring payer requirements are met to support timely reimbursement.
Ensure accurate and up-to-date payer and member insurance information is maintained in systems to prevent claim rejections and delays.
Identify and resolve eligibility discrepancies, coverage issues, and missing information proactively.
Support members in navigating employer-sponsored benefits, EAP programs, and insurance coverage, helping them understand financial responsibility and access to care.
Respond to billing, eligibility, and coverage-related inquiries from members with clarity, accuracy, and empathy.
Partner with internal teams (clinical, operations, customer support) and external stakeholders (payers, employer partners) to resolve eligibility and authorization issues.
Serve as a subject matter resource for front-end RCM workflows and payer requirements.
Own assigned worklists ensuring completion within established productivity, quality, and SLA expectations.
Resolve claim denials due to eligibility or authorization related issues.
Prioritize daily work effectively across competing deadlines, understanding how tasks impact downstream billing and member experience.
Apply established workflows and sound judgment when resolving eligibility and authorization issues.
Maintain accurate and complete documentation of eligibility checks, authorizations, and member interactions to support auditability and compliance.
Identify trends in eligibility errors, authorization delays, claim denials, or payer issues, and escalate or suggest process improvements.
Support audits and quality reviews related to financial clearance processes.
Contribute to process improvements, including automation and system enhancements, to improve efficiency and reduce manual work.
Collaborate with internal and external stakeholders to resolve complex eligibility, authorization, and coverage issues.
Escalate high-risk or time-sensitive cases appropriately to prevent care delays or claim denials.
Identify workflow gaps and contribute to solutions that improve financial clearance accuracy and efficiency.