Note: The job is a remote job and is open to candidates in USA. Octave is seeking a Billing Operations Specialist to join its Revenue Cycle team and serve as a primary point of contact for clients nationwide. The role manages billing inquiries, eligibility checks, invoices, payments, insurance claims, patient statements, and process improvements while using AI tools to enhance daily work.
Responsibilities
- Organizes and conveys information clearly and concisely through timely, warm, and precise communication with clients, clinicians, and other Octave 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
- Manage patient statement processing and accurately and promptly post payments, ensuring account reconciliation and discrepancy resolution
- Actively seeks innovative ways to streamline processes and enhance efficiency as Octave grows
- Leverage AI tools as a core part of daily work (drafting, research, iteration) to improve efficiency, quality, and decision-making
Skills
- • Monday to Friday: 9am to 6pm PST (1 hour lunch)
- • Occasional weekend coverage
- • Demonstrated expertise in customer service, emphasizing the importance of delivering exceptional customer experiences and managing effective interactions
- • Adept at managing client phone calls related to billing and explanations of benefits
- • Ability to clearly explain billing, insurance, and account questions in a professional and empathetic manner
- • 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
- • 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
- • Comfort using AI tools in day-to-day workflows, with a willingness to continuously rethink and improve how work gets done
- • Curiosity and openness to experimenting with new tools and approaches; prior experience with AI tools is a plus
- • 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.)
- • Experience with patient-facing communication tools such as Zendesk, live phone support, or chat platforms
- • 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
- • Google Suite & Apple MacBook experience preferred
Benefits
- Company sponsored life insurance, disability and AD&D plans
- Voluntary benefits such as 401k retirement, medical, dental, vision, FSA, HSA, dependent care and commuter/parking options are also available.
- Octave offers generous Paid Time Off as well as paid parental leave benefits.
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