Team Lead - Eligibility

We’re looking for a compassionate leader and healthcare eligibility specialist to build and refine a top-tier support experience for our providers including therapists and other mental healthcare professionals in private practice as well as their clients. You will oversee and enhance our medical billing support addressing complex eligibility-related issues to ensure seamless service delivery for all stakeholders.

In this role you will manage the development of policies that benefit both providers and clients focusing on insurance copays and deductibles. You will collaborate closely with our Engineering and Billing Support teams to implement industry best practices ensuring our processes align with current standards and provide exceptional support. Your efforts will be crucial in maintaining and improving our comprehensive support system.

In this role you will:

• Lead a team of eligibility specialists who will work to ensure all patients with insurance eligibility are able to book with an in-network Grow provider

• Act as a key contributor and owner towards large scale eligibility projects critical towards stakeholder satisfaction and organizational growth especially with our Tech/Product org

• Be a critical part of our Insurance Operations Department leadership working to improve our key metrics and grow our Eligibility Team’s capacity over time

Salary range: $80000 - $100000

You'll be a good fit if:

• You have at least 2 years of experience specifically working with health insurance eligibility & benefits verification and revenue cycle management concepts.

• You have experience with insurance benefits and are able to explain complex health insurance concepts to patients like in-network vs. out-of-network statuses coordination of benefits authorizations and more.

• You have a basic understanding of how to verify and check benefits across a variety of platforms such as Availity Payor portal and other billing platforms  (medical coding/billing experience a plus!)

• You are comfortable with numbers. You’ve built metrics around time to respond / time to resolution and use that data to drive decisions.

• You have strong communication skills and can quickly and succinctly present your ideas to company executives.

• You have a bias for action and care about delivering results and meeting deadlines.