About The Position
Sword is seeking a Billing Specialist to support its Billing team in a fast-paced, changing healthcare environment. The role supports timely, accurate financial clearance and claims submission; researches and resolves authorization, referral, eligibility, and member billing questions; and helps document and improve processes so billing is handled correctly from start to finish. The position requires at least Level 1 AI proficiency under Sword’s framework: using AI daily to improve personal productivity, with candidates prepared to provide real examples of how AI is part of their work. The role involves applying payer-specific requirements, communicating with members and payers, handling member financial responsibility and payments, maintaining accurate records, and coordinating with internal teams to resolve revenue cycle issues. The posting describes the role as a contractor position. Compensation is listed as €22–€25 EUR, with country-specific benefits to be detailed separately.
Requirements
- At least 3 years of Revenue Cycle Management experience, with working knowledge of medical billing claims.
- Familiarity with financial clearance, insurance verification, or authorizations.
- Experience speaking directly with members or patients about billing or insurance.
- Working knowledge of billing, coding, and claims follow-up.
- Experience communicating with payers to resolve issues.
- Proficiency in Excel and comfort with basic data analysis.
- Comfort with claims billing software and Microsoft Office, and a desire to learn new tools.
- Ability to work across multiple systems and workflows.
- Strong attention to detail and problem-solving skills.
- Strong communication and interpersonal skills.
- Self-starter who asks questions and learns quickly.
- Passion for advocating for Headspace’s members.
- At least Level 1 AI proficiency: uses AI daily to boost personal productivity.
Nice To Haves
- Experience in behavioral health, mental health, telehealth, or digital health billing.
- Experience in B2B2C healthcare.
- Exposure to health plan or EAP.
Responsibilities
- Review authorization, referral, and eligibility issues raised by the billing team and resolve them while meeting productivity and quality targets.
- Learn and apply payer-specific requirements, including authorizations, referrals, carve-outs, and TPA plans.
- Communicate with members to obtain financial information and verify insurance coverage.
- Calculate member financial responsibility and provide accurate cost estimates.
- Review billing activity and transaction history to answer member billing questions.
- Accurately record and reconcile member payments in the practice system.
- Identify collection opportunities, including payment plans and hardship applications, and escalate as appropriate.
- Coordinate with the coding team and clinicians on coding questions, and with Member Support on billing and collection questions.
- Maintain accurate and complete member records in electronic medical record and billing systems.
- Pull reports and review balance and authorization data to spot trends, and share findings with the lead or manager.
- Flag workflow pain points and suggest improvement ideas.
- Support new workflow rollouts and keep standard operating procedure documentation up to date.
- Partner with teammates and occasionally Product or Engineering to resolve RCM issues.
- Escalate complex or unresolved issues to the team lead or manager.
- Complete other assignments as requested.
- Uphold HIPAA compliance guidelines and all relevant regulations.
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What This Job Offers
Education Level
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