Insurance Ops Agent (backed by Y Combinator, $[X]M+ ARR, $[X]M+ raised)

Legion Health•Austin, TX

6d•$8 - $12•Remote

About The Position

At Legion Health, we believe everyone deserves fast, affordable, and effective mental health care, and we’re on a mission to deliver that at scale. Legion Health is a full-stack AI-native psychiatry network—our clinicians provide care directly to patients, and AI agents automate all parts of our care operations (e.g., scheduling, risk analysis, billing, etc.). Our vision? A 10X better patient experience that’s higher quality, less expensive, and more scalable than ever before. And a 10X better clinician experience that frees our providers to focus on what matters most: caring for patients. Join us as we build the future of mental health—and the highest‑quality, most efficient, and widest-reaching vehicle in healthcare. Powered by both humans and AI. As Insurance Ops Agent, you will play a critical role in delivering a delightful, accurate, and timely billing experience for patients. You’ll work with the Head of Revenue Operations and other members of the Revenue Cycle Management team to manage insurance claim denials, rejections, and holds to ensure that claims are properly submitted and reimbursed.

Requirements

1+ years of Insurance claims management experience in Behavioral Health is a requirement
Experience making Payer calls and investigating claim denials

Nice To Haves

Familiarity with practice management softwares like Healthie & Candid Health is a plus

Responsibilities

Oversee the end-to-end claims lifecycle from claim submission to insurance reimbursement by resolving claim holds and re-submitting / appealing claim denials
Resolve behavioral health claim denials for inactive coverage, coordination of benefits, prior authorization, documentation, non-covered services, credentialing, and coding
Investigate insurance claim denials and, when required, make Payer calls or message patients to resolve denials