Revenue Cycle Specialist

We are looking for a Revenue Cycle Specialist to join our team that will report directly to the Revenue Cycle Manager. The Revenue Cycle Specialist will be focused on the oversight of all aging revenue, payment posting, and overall cash collections. You will also be responsible for working with internal teams to inform and keep all aspects of the full revenue cycle up to date. 

What you’ll be doing:

• Responsible for full revenue cycle billing for medical claims to ensure proper reimbursement for services rendered.
• Resolve issues with pending, rejected or denied insurance claims, through re-submissions and appeals driving in net collections.
• Ensuring that all payment postings from various payers happen in an accurate and timely manner.
• Communicating with patients regarding outstanding balances, questions about their bills, and setting up payment plans when necessary.  
• Responsible for managing insurance A/R follow ups and resolution of all insurance claim billing errors.
• Act as a liaison, when necessary, between internal and external partners to resolve claims and billing issues.
• Identify trends or issues and initiate corrective action to improve revenue cycle management claim resolution rates.. 
• Provide feedback and advice on product/technology/service improvements. 
• Own ad hoc operational efficiency projects as needed by the Director of Health Plan Operations. 

Success as a Revenue Cycle Specialist can be defined by several key indicators:

• Optimized Revenue Generation: 
• Timely Billing and Reimbursements
• Accuracy and Compliance
• Reduced Accounts Receivable Days
• Effective Communication
• Continuous Improvement
• Customer Satisfaction

What we expect from you:

• High School diploma or GED required with at least two (2) years experience in the healthcare field in a similar position.
• Familiarity/Experience working in the behavioral health field.
• Comfortable in amorphous environments and with constantly evolving job role responsibilities.
• Tech-savvy: very comfortable adapting to new technologies and platforms while remaining efficient in completing tech-related tasks.
• Excellent written and verbal communication skills.
• Able to multi-task and context switch!

The target base salary range for this position is $62,500 - $77,250, and is part of a competitive total rewards package including stock options and benefits. Individual pay may vary from the target range and is determined by a number of factors including experience, location, internal pay equity, and other relevant business considerations. We review all employee pay and compensation programs annually at minimum to ensure competitive and fair pay.

Don’t meet every requirement? Studies have shown that women, communities of color and historically underrepresented talent are less likely to apply to jobs unless they meet every single qualification. At Spring Health we are dedicated to building a diverse, inclusive and authentic workplace

To ensure intentional and equitable hiring practices, we use a balanced candidate slate in our interviews. This approach guarantees that our pool of qualified candidates includes individuals who are underrepresented in our organization at all levels. This is a key performance indicator (KPI) for our recruiting and hiring teams, reported quarterly to maintain accountability.

Ready to do the most impactful work of your life? Learn more about our values, how we work, and how hypergrowth meets impact at Spring Health:Our Values

Hypergrowth meets impact

What to expect working here:

• You will be held accountable to an exceptionally high bar and impact
• This may be the fastest work environment you will ever experience in terms of growth, decision-making, and time to impact
• You will be empowered to set your own boundaries and asked to adapt them in critical moments when the company needs you
• You will create processes & products that have never existed before
• You will have very direct conversations and receive continuous feedback to push you to become the most thriving team member and performer you can be
• Change is a constant here: your role, team, responsibilities, and success metrics will shift as the company grows

And…

• You get to be surrounded by some of the brightest minds in the field  
• You get to learn and grow at an extremely accelerated pace
• You will experience transparency, integrity, &  humility from leadership 
• You will be empowered to constantly challenge the status quo
• You get the space to experiment & innovate
• You get to make a transformational impact for the company, mental health, and for real human lives — and you will see that impact quickly
• You will become more resourceful and resilient
• You get to be part of a winning team that opens doors in the future

Benefits provided by Spring Health:

Your Total Health:

• Health, Dental, Vision benefits start on your first day at Spring Health. You and your dependents also receive an individual One Medicalaccount which is valued at $199/year per user. HSA and FSA plans available
• A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents
• 10 allocated sick days per year
• Flexible paid time off in addition to 12 paid holidays throughout the year
• Access to Gympass, an on-demand virtual benefit that provides wellbeing coaching, and budget management.
• Spring Renewal: When you hit your four-year Springaversary, you’ll be awarded afourweek, fullypaid, sabbatical leave to renew and recharge. 

You And Your family:

• 4-4.5 months of fully paid parental leave
• Spring Health provides team members and their families with sponsored access to Bright Horizons® child care, back-up care, and elder care.
• Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses

Supporting you financially through:

• Our People team benchmarks all salaries using theRadford Global Compensation Databasefor technology and life sciences industries. Radford benchmarks salaries with 3,589 global firms, 6.5 million employees, and 98 countries across the globe. We do this to ensure all of our team members are paid equally and competitively.
• On top of competitive and benchmarked salary, Spring Health offers incentive pay (based on role), and equity that begins vesting as we celebrate your first year with the company!
• Employer sponsored 401(k) match of up to 2% after 90 days of employment

Creating a culture you can thrive in:

• Flexible work arrangements: 66% of Spring Health team members work fully remote while 33% work in a hybrid model from our New York City offices
• Focus Fridays: no meetings, no distractions, just time for you to get work done.
• Focus Weeks: In Spring 2023, we held our first ever Focus Week, we canceled all non-essential meetings, minimized distractions, and you, our team members, to dive into the key work that gets chopped up or deprioritized during the regular day-to-day. We saw a 36% jump in the average energized score after those five days of flow state work and are finalizing a plan for quarterly Focus Weeks for team members.
• Up to $1,000 Professional Development Reimbursement per calendar year.
• $200 per year donation matching to support your favorite causes

Our privacy policy: https://springhealth.com/privacy-policy/

Spring Health is proud to be an equal opportunity employer. We do not discriminate in hiring or any employment decision based on race, color, religion, national origin, age, sex, marital status, ancestry, disability, genetic information, veteran status, gender identity or expression, sexual orientation, or other applicable legally protected characteristic. We also consider qualified applicants regardless of criminal histories, consistent with applicable legal requirements. Spring Health is also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. If you have a disability or special need that requires accommodation, please let us know.