About Legion Health
At Legion Health we believe everyone deserves fast affordable and effective mental health care and were on a mission to deliver that at scale.
Legion Health is a full-stack AI-native psychiatry networkour 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 thats 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 healthand the highestquality most efficient and widest-reaching vehicle in healthcare. Powered by both humans and AI.
Role Logistics
The Opportunity
As Insurance Ops Agent you will play a critical role in delivering a delightful accurate and timely billing experience for patients. Youll 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.
Responsibilities and Deliverables
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
Youll Be Successful If You
Quickly and accurately resolve claims issues processing 30 claims per day
Have strong organization and tracking of follow-ups and escalations
Leverage strong systems thinking and drive issue resolution end-to-end
Ideal Background and Skills
1 years of Insurance claims management experience in Behavioral Health is a requirement
Experience making Payer calls and investigating claim denials
Familiarity with practice management softwares like Healthie & Candid Health is a plus
Compensation & Benefits
How to Apply and Hiring Process
Overview of our hiring process:
Resume Application Screen
Founder Conversation
Technical Interview
Estimated time-to-hire: 2 weeks
Start date: ASAP
Hiring manager: Edwin Bang
Equal Employment Opportunity
Legion Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees contractors and applicants without regard to race color religion sex sexual orientation gender identity or expression national origin age disability veteran status genetic information or any other protected characteristic under applicable law. We encourage applicants from all backgrounds to apply.
About Legion HealthAt Legion Health we believe everyone deserves fast affordable and effective mental health care and were on a mission to deliver that at scale.Legion Health is a full-stack AI-native psychiatry networkour clinicians provide care directly to patients and AI agents automate all part...
About Legion Health
At Legion Health we believe everyone deserves fast affordable and effective mental health care and were on a mission to deliver that at scale.
Legion Health is a full-stack AI-native psychiatry networkour 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 thats 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 healthand the highestquality most efficient and widest-reaching vehicle in healthcare. Powered by both humans and AI.
Role Logistics
The Opportunity
As Insurance Ops Agent you will play a critical role in delivering a delightful accurate and timely billing experience for patients. Youll 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.
Responsibilities and Deliverables
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
Youll Be Successful If You
Quickly and accurately resolve claims issues processing 30 claims per day
Have strong organization and tracking of follow-ups and escalations
Leverage strong systems thinking and drive issue resolution end-to-end
Ideal Background and Skills
1 years of Insurance claims management experience in Behavioral Health is a requirement
Experience making Payer calls and investigating claim denials
Familiarity with practice management softwares like Healthie & Candid Health is a plus
Compensation & Benefits
How to Apply and Hiring Process
Overview of our hiring process:
Resume Application Screen
Founder Conversation
Technical Interview
Estimated time-to-hire: 2 weeks
Start date: ASAP
Hiring manager: Edwin Bang
Equal Employment Opportunity
Legion Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees contractors and applicants without regard to race color religion sex sexual orientation gender identity or expression national origin age disability veteran status genetic information or any other protected characteristic under applicable law. We encourage applicants from all backgrounds to apply.
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