Lead Billing Specialist

Daybreak health

Country: United States of America

Location: United States (Remote)

Time Type: Full Time

Posted On: October 16, 2024

About Daybreak

Daybreak Health is creating a world where every young person benefits from mental health support. We provide evidence-based virtual and in-person therapy to children and youth ages 6-19. We partner with school districts and health insurance companies to provide accessible mental health care to all families - we believe that every child should have access to mental health support as a fundamental part of their education.

We’re a YC-backed company that raised its Seed from Maven Ventures, Series A from Lightspeed Ventures and our Series B led by Union Square Ventures. We’ve seen tremendous success in the past 2 years and are growing quickly and efficiently. We’re hiring for critical roles to continue our acceleration and national expansion.

As a team, Daybeakers:

  • Rally around our North Star mission.
  • Are creative, humble, hard-working, and determined to win.
  • Collaborate and execute incredibly well by “doing more with less” - we value efficiency and output over hours worked.
  • Communicate clearly using writing instead of jumping to meetings for everything
  • Are fully remote with team members across the country and have invested deeply in making async work
  • Value mental health: vulnerability is a big part of our culture. We also have regular mental health days (once per quarter).
  • Value fun and hold regular virtual and in-person activities.

Lead Billing Specialist

Job Title: Lead Billing Specialist

As a team, we are all aligned with our North Star mission. We collaborate and execute incredibly well by doing more with less (we value efficiency and output over hours worked!) and we communicate clearly using writing (vs. unnecessary meetings). We are fully remote with team members across the country and will stay that way. We value mental health: the willingness to be vulnerable is a requirement to join Daybreak. We have regular mental health days (at least once per quarter!). Last but not least, we value fun and hold regular virtual and in-person activities.

Overview

We are seeking a motivated and detail-oriented Billing Specialist to join our team at Daybreak Health. As a Billing Specialist, you will play a critical role in ensuring the financial success of our organization by supporting the billing and revenue cycle process for our behavioral health services. This position is essential in ensuring that our patients receive the necessary care while maintaining the financial health of our startup.

Responsibilities

  • Prepare and submit insurance claims to various payors promptly and accurately.
  • Monitor and follow up on unpaid claims to ensure timely resolution.
  • Identify and rectify billing and coding errors, denials, and rejections.
  • Assist patients with questions regarding their bills and resolve billing inquiries in a professional and courteous manner.
  • Outreach to patients with large outstanding balances.
  • Verify patient insurance eligibility and coverage.
  • Assist in generating reports on billing and revenue cycle performance for internal analysis and decision-making.
  • Work collaboratively with the clinical and customer success teams to ensure accurate and complete billing information.
  • Help ensure compliance with billing and coding regulations, including HIPAA, CPT, and ICD-10 coding guidelines.

You will love this job if:

You are excited to work at a high growth, fast-paced company and not afraid to roll up your sleeves!

Qualifications

  • 2+ years of experience in medical billing and coding. Prior experience in behavioral health is a plus.
  • Proficiency with billing software and electronic health records (EHR) systems. Previous experience with Athena a plus.
  • Knowledge of CPT, ICD-10, and HCPCS coding.
  • Strong background in working with claim denials, rejections, and appeals.
  • Familiarity with insurance verification and prior authorization processes.
  • Strong communication skills, both written and verbal.
  • Knowledge of healthcare compliance and HIPAA regulations.
  • Strong cross-functional and interpersonal skills with overall ability to quickly build rapport with internal and external stakeholders

Equal Employment Opportunity

At Daybreak Health, we believe in fostering an inclusive and diverse workplace where every individual's unique background and perspective is celebrated and valued. We are committed to promoting equality, equity, and opportunity for all. We actively encourage individuals from diverse communities, including but not limited to race, ethnicity, gender identity, sexual orientation, ability, age, religion, and socioeconomic background, to apply and join our team.