Bill Review Specialist
Why our work matters
The healthcare industry is notoriously difficult to navigate. One third of the over $3 trillion spent on healthcare annually results from this complexity, and more than half of Americans don’t get care because of the price tag. Our mission is to simplify the healthcare experience in a way that provides access to better care at a lower cost.
Since 2014, HealthJoy has been committed to revolutionizing the way people access healthcare. Through an easy to use app that brings together healthcare information and on-demand help, we enable people to be more informed and confident when making decisions about their healthcare. It’s no small feat, but our work makes a significant difference in people’s lives.
Our team has compassion and energy for the problems we are solving. We hold ourselves accountable and deliver on ambitious, meaningful goals. Putting egos aside, we commit to doing what it takes to bring positive changes to our users. Everyone plays a role.
Together we are building the future of healthcare. Join us!
Your role in our mission
Our teammates on the Member Services Team ensure member satisfaction and demonstrate an unwavering commitment to helping our members make smarter healthcare decisions. This is a high impact team dedicated to delivering joy to our members.
As a Bill Review Specialist, you will work on behalf of our members and in their best interests. You’ll investigate, analyze, evaluate and help settle various medical insurance claims. Your goal will be to determine the validity of claims, verify a member’s coverage, and ensure our members are billed appropriately.
Responsibilities
- Work on complex insurance benefits navigation and claims adjustments on behalf of our amazing members. This can include medical bill reviewing where you will be required to breakdown the bill coding to ensure the member was billed appropriately.
- Dispute any coding errors with the provider’s office or insurance company to ensure our member gets a proper bill.
- Request and submit necessary medical authorization forms to follow HIPAA requirements.
- Make outbound calls to providers and insurance companies to receive benefits information and details regarding network status, claims, and medical code breakdowns.
- Stay in constant communication with HealthJoy members through phone, email and live chat.
- Deliver joy to members with marvelous service, anticipating needs, and resolving issues.
Your background
- High School degree or equivalent; bachelor's degree preferred
- Strong knowledge of medical terminology, including dental and vision verbiage along with bill codes
- 5+ years experience in a customer facing role
- 3+ years experience in healthcare or medical insurance
- Two or more years of experience in medical billing/coding
- Basic computer understanding and ability to use Google Sheets and Docs, email and the Internet.
- Ability to work autonomously within deadlines
- Critical thinker with a passion for “digging into the details”
HealthJoy perks
- Medical benefits with generous employer contribution + dental and vision
- HSA with annual company contribution
- 401k
- Stock options
- Pre-Taxed Transit
- Flexible PTO policy
- Parental leave
- Access to the HealthJoy app
- Quarterly volunteer events
- Monthly company sponsored happy hours
- Weekly Instacart orders and catered lunches every Friday
HealthJoy is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or any other basis forbidden under federal, state, or local law.