Remote Billing Specialist Job New York New York USA,Healthcare

Location: New York

In the United States, one in five adults experience a mental health illness and over 12 million people have thoughts of suicide. Mental health crises can be some of the most difficult times in a person’s life, and over 17 million people seeking behavioral health care experience a delay in accessing care. Willow Health is on a mission to significantly improve this experience by expanding affordable access to high-quality, evidence-based intensive behavioral health care.

In order to make this mission a reality, we are building a virtual crisis care program that provides personalized, recovery-oriented care for people experiencing behavioral health crises. Willow Health offers patients immediate access to evidence-based virtual crisis psychotherapy, medication management, certified peer coaching, care management, and around the clock crisis coverage, while working to connect patients to the most appropriate next level of care.

Our co-founding team of Cityblock and Oscar alums has two decades of collective experience working in healthcare and healthcare tech, and we are backed by Andreessen Horowitz.

As Willow Health continues to grow and expand into new markets, we are seeking an experienced Billing Specialist to support accurate, timely, and compliant billing across our payor mix.

This role will be responsible for managing day-to-day billing activities across the revenue cycle, including claim submission, claim follow-up, denial resolution, payment posting and review, and accounts receivable management. The Billing Specialist will work closely with Revenue Cycle leadership to identify billing issues, resolve payor-related barriers, and ensure services are appropriately reimbursed.

The ideal candidate is an experienced medical biller who can work independently, investigate complex billing issues, understand payor requirements, and take ownership of claims through final resolution.

Day to Day Responsibilities

Review claims for accuracy and completeness prior to submission, including patient demographics, insurance information, provider information, coding, modifiers, place of service, and other billing requirements.
Submit clean claims to commercial insurance, Medicare, Medicaid, and managed care payors.
Monitor claim status and proactively follow up on unpaid, underpaid, rejected, and denied claims.
Post payments from patients and insurance received electronically, paper and virtual credit card, including bank reconciliation.
Review and submit patient statements as balances incur.
Review patient account questions and provide clear responses in a timely manner.
Research and resolve claim denials and rejections, including identifying root causes, making necessary corrections, submitting reconsiderations or appeals, and tracking claims through resolution.
Work accounts receivable and aging reports according to established follow-up timelines and priorities.
Review payor remittances and Explanation of Benefits/Explanation of Payment documentation to identify payment discrepancies, denials, recoupments, and other issues requiring follow-up.
Identify underpayments and reimbursement discrepancies and
Correct and resubmit claims when billing errors or payor requirements are identified.
Communicate with insurance companies regarding eligibility, claim status, authorization, reimbursement, and other billing-related issues.
Maintain clear and complete documentation of billing follow-up and actions taken.
Identify recurring denial patterns, payor issues, or workflow problems and communicate trends to Revenue Cycle leadership.
Collaborate with clinical, operations, credentialing, and revenue cycle teams to resolve issues affecting claim submission or reimbursement.
Maintain working knowledge of payor billing…