Insurance Operations Coordinator

Mochi Healths mission is to be the discovery layer of healthcare. We are building a platform that makes it easier for patients to find the right providers access the right medications and take control of their health with transparency and trust.

Over the past few years we have experienced rapid growth by combining operational excellence clinical expertise and innovative technology to deliver care that is more human intuitive and effective. From pharmacy pricing transparency and personalized medication management to long-term medical record access and community-based chronic illness support Mochi is creating a new model of care that empowers patients providers and pharmacies alike.

We believe the future of healthcare is personal and we are building the technology to power it. At Mochi Health you will join a team that values inclusivity collaboration and bold thinking and you will have the opportunity to do the most meaningful work of your career.

About Mochi Health

Mochi Healths mission is to be the discovery layer of healthcare. We are building a platform that makes it easier for patients to find the right providers access the right medications and take control of their health with transparency and trust.

Over the past few years we have experienced rapid growth by combining operational excellence clinical expertise and innovative technology to deliver care that is more human intuitive and effective. From pharmacy pricing transparency and personalized medication management to long-term medical record access and community-based chronic illness support Mochi is creating a new model of care that empowers patients providers and pharmacies alike.

We believe the future of healthcare is personal and we are building the technology to power it. At Mochi Health you will join a team that values inclusivity collaboration and bold thinking and you will have the opportunity to do the most meaningful work of your career.

$75000 - $95000
Full-time / Onsite (5 days/week)

About the Role

Were seeking an organized reliable Insurance Operations Coordinator to handle the administrative backbone of our insurance operations. This role focuses on execution and maintenance ensuring payer enrollments stay current communications are handled promptly documentation is organized and reimbursement of codes remains clean. Youll work closely with our insurance consultant to learn payer relations and serve as the internal point of contact for operational insurance matters.

What Youll Do

• Manage EFT and ERA enrollment and re-enrollment processes with payers; track status follow up on delays and ensure successful completion

• Monitor and respond to payer communications provider portal messages and credentialing requests in a timely manner

• Serve as the primary liaison for routine payer interactions identifying and escalating strategic issues as needed

• Maintain organized records of payer contracts enrollment statuses and compliance documentation

• Conduct annual review of payer compliance documents; identify billing rule changes coverage updates and documentation requirements

• Translate compliance document findings into actionable summaries for the billing and clinical teams

• Audit billing codes and claims data for accuracy; flag discrepancies and ensure clean claim submission

• Track denial trends and compile reports for operational review

• Support credentialing maintenance and provider enrollment updates across states

Required Qualifications

• 3-5 years experience in healthcare administration medical billing or insurance operations

• Hands-on experience with payer portals EFT/ERA enrollment and credentialing workflows

• Strong understanding of medical billing processes CPT/ICD-10 coding and claims submission

• Highly organized with excellent attention to detail and follow-through

• Comfortable managing billing processes at scale

Nice To Have

• Experience with clearinghouses (e.g. Availity) RCM platforms (e.g. Candid Health) or EDI transactions (270/271)

• Familiarity with telehealth billing and multi-state credentialing

• Background in a startup or high-growth healthcare environment

• Experience reading and interpreting payer compliance and policy documents

Workplace Policy

Mochi Health is an in-person company based in San Francisco CA. Our team works together in person five days a week to foster collaboration innovation and strong connections. We believe that face-to-face interaction builds a culture of excellence and allows us to deliver the best outcomes for the patients and providers we serve.

For office-based roles the standard schedule is Monday through Friday 9:00 a.m. to 7:00 p.m. Actual hours may vary depending on business needs and role responsibilities. All employees receive meal and rest breaks in accordance with applicable state and local laws.

For designated remote roles this in-person policy does not apply.

Equal Opportunity

Mochi Health is an Equal Opportunity Employer. We make all employment decisions based solely on merit. We provide equal employment opportunities to all applicants and employees without discrimination on the basis of race religion color national origin gender (including pregnancy childbirth or related medical conditions) sexual orientation gender identity gender expression age status as a protected veteran disability status or any other applicable legally protected characteristic. We prohibit any form of discrimination or harassment. This policy applies to all terms and conditions of employment including hiring.

Candidate Privacy Notice

Please review Mochi Healths Candidate Privacy Notice here.

Accommodations

Mochi Health complies with the Americans with Disabilities Act (ADA) as amended by the ADA Amendments Act and all applicable state or local laws. We will reasonably accommodate qualified individuals with a disability during the application process and throughout employment as required by law.

If you need any assistance or accommodations due to a disability please contact us at .