[Hiring] Billing Operations Specialist REMOTE USA

­­­­Position: Billing Operations Specialist

Date posted: 2025-03-21

Industry: other

Employment type: Full Time

Experience: 2 year                       

Qualification: Bachelor’s Degree holder

Location: United States, REMOTE

Company: Swooped

Description:

Hiring Billing Operations Specialist

United States

About the job

About Our Client

Our client is a modern behavioral health practice creating a new standard for care delivery that’s both high-quality and accessible. With in-person and virtual clinics in multiple states, the company offers evidence-based individual, couples, and family therapy, while pioneering relationships with payers to make care more affordable through insurance. By raising the bar on how care is delivered and how providers are supported, they are building a sustainable system that values equity, affordability, and effectiveness.

About the Role:

This role is ideal for individuals who are passionate about customer service, excel at problem-solving, and thrive in the dynamic environment of a startup. As a key member of the Revenue Cycle team, the Billing Specialist will serve as the primary point of contact for clients across the nation, managing a moderately high volume of billing-related inquiries. To support clients in various time zones, candidates must be open to flexible schedules, including Pacific Standard Time hours when needed. The Billing Specialist will report directly to the Revenue Cycle Manager

Responsibilities Include:

• Organizes and conveys information clearly and concisely through timely, warm, and precise communication with clients, clinicians, and other company employees.
• Efficiently works across various platforms to perform eligibility checks, generate invoices/super bills, process and post payments daily, submit insurance claims, and respond to clients’ billing inquiries.
• Efficiently utilizes multiple software systems to perform eligibility checks, generate superbills, process and post payments, submit insurance claims, respond to patient billing inquiries, and alert management of potential concerns.
• Adheres to standard operating procedures to guarantee information is complete, accurate, clear, and concise.
• Performs follow-up actions to ensure work quality, task completion, and alignment with individual and department goals
• Communicates effectively with health plans to obtain necessary information and resolve issues.
• Handles incoming client inquiries efficiently, ensuring timely responses and applying specialized knowledge for successful resolution.
• Actively seeks innovative ways to streamline processes and enhance efficiency as the company grows.

Preferred Qualifications:

• Minimum 2 year experience working in healthcare administration (e.g. front office, insurance or patient billing, medical claims & coding, insurance verification, in-network and out-of-network payers, etc.).
• Google Suite & Apple MacBook experience preferred.
• Demonstrated expertise in customer service, emphasizing the importance of delivering exceptional customer experiences and managing effective interactions.
• Proficient in written communication, live chat, and phone support.
• Exceptional attention to detail.
• Superior written and verbal communication skills.
• High proficiency in multitasking across various systems.
• Adept at managing client phone calls related to billing and explanations of benefits.
• Willingness to undertake tasks beyond the defined role, demonstrating eagerness to learn and grow.
• Ability to handle delicate or sensitive situations with discretion and care.
• Strong passion for mental health and wellness.
• Ability to work the following schedule (hours/days):
• Saturday OR Sunday 9am to 5pm PT AND
• Any other 4 (consistent) days Monday – Friday 8am to 4pm PT

Company Values:

• We’re human beings first. We operate with empathy and kindness – with our clients, with our collaborators, and with ourselves.
• People deserve better than status quo. We’re willing to tackle the intractable problems, no matter how big, because someone should. We ask big questions, we craft big solutions, and we challenge ourselves and others to make it happen
• No bystanders. No stars. No tourists. Each person has been selected to be here, and with that comes a responsibility to bring your expertise, share your ideas, and help make this company better.
• Partnership paves the path ahead. We don’t operate in a silo, internally or externally. To transform the system, we believe in working with others to create something bigger, better, and stronger.
• Quality is crucial at scale. Quality is core to the business, and we refuse to sacrifice it as we grow.
• Progress is a process. In the pursuit of progress, we iterate, reflect, learn, adjust – and always leave things better than we found them.
• There are people behind every data point. We recognize that numbers tell only one part of the story, and we also do the work to understand impacts at the individual level.

Physical Requirements:

• Prolonged periods sitting at a desk and working on a computer.
• Must be able to frequently communicate with others through virtual meeting applications such as Zoom and Google Meet.
• Must be able to observe and communicate information on company provided laptop.
• Move up to 10 pounds on occasion.
• Must be eligible to work in the United States without sponsorship now or in the future.

Salary Range

• The salary range is for zone 1 (all states not in zone 2 or zone 3) is $23.51 – $26.49 per hour.
• The salary range for zone 2 (CO, HI, MD, RI) is $25.87 – $27.50 per hour.
• The salary range for zone 3 (AK, CA, CT, MA, NJ, NY, WA) is $27.02 – $28.75 per hour.