About us:
Parsley Health is a digital health company with a mission to transform the health of everyone, everywhere with the world's best possible medicine. Today, Parsley Health is the nation's largest health care company helping people suffering from chronic conditions find relief with root cause resolution medicine. Our work is inspired by our members’ journeys and our actions are focused on impact and results.
The opportunity:
Parsley Health has an opportunity for a proactive, critical thinker to fill the role of Accounts Receivables Specialist. This job will be the connection point between the claims processing team and building solutions with clinical operations teams to strengthen member satisfaction and grow revenue. The ideal candidate is someone who finds a thrill in digging deep into a problem to find its source, and working with a team to build a solution.
The Accounts Receivables Specialist will be primarily responsible for identifying and resolving systems level issues in the Parsley Health revenue cycle including claims member enrollment, claims processing, and payor adjudication. This role will work closely with the Revenue Cycle Director, Member Benefits Associate and other cross functional partners to improve workflows to ensure claims are processed timely and accurately.
What you’ll do:
- Serve as the primary point of contact for all issue resolution with Parsley Health’s third party claims and payment processor - including items such as:
- Fee Schedule Maintenance
- Claims Releases
- Enterprise Billing Set Up
- User and system maintenance
- Identify Adjudication Patterns using denial and claim rejection data and partner with the Insurance Operations Manager and cross-functional teams to identify root causes for improved claims workflow
- Provide support for member facing escalations regarding insurance eligibility and claims denials
- Serve as a stakeholder and revenue cycle subject matter expert in payer operations process improvements
- Support the development of insurance based trainings for MX, Coords, FOH
- Develop Payer Workflow / SOP Creation
- Payer Ops collaboration with other depts (Sales, EPD, Marketing/Growth)
- Verify insurance benefits and check eligibility of all members.
What you’ll need:
- At least 3+ years of experience in healthcare accounts receivable, billing, and collections.
- Strong knowledge of CPT/ICD-10 codes and insurance claims processes.
- Proficiency in healthcare billing software and electronic medical records systems.
- Excellent communication, problem-solving, and organizational skills.
- Ability to communicate technical information in a way that is easy for team members and patients to understand.
- Comfortable in amorphous, fast-paced environments and with constantly evolving responsibilities.
- Tech-savvy skills: very comfortable adopting new technologies and platforms and efficient in tech-related tasks.
- Knowledge of federal and state healthcare billing regulations and compliance standards.
Nice-to-haves:
- Familiarity with non fee-for-service healthcare reimbursement models (per member per month, employer based subscription models, capitation, etc.)
- Experience working in healthcare technology.
Benefits and Compensation:
- Equity Stake
- 401(k) + Employer Matching program
- Remote-first with the option to work from one of our centers in NYC or LA
- Complimentary Parsley Health Complete Care membership
- Subsidized Medical, Dental, and Vision insurance plan options
- Generous 4+ weeks of paid time off
- Annual professional development stipend
- Annual wellness stipend
Parsley Health is committed to providing an equitable, fair and transparent compensation program for all employees.
The hourly rate for this role is between $21-$25/hour, depending on skills and experience. We take a geo-neutral approach to compensation within the US, meaning that we pay based on job function and level, not location.
Individual compensation decisions are based on a number of factors, including experience level, skillset, and balancing internal equity relative to peers at the company. We expect the majority of the candidates who are offered roles at our company to fall healthily throughout the range based on these factors. We recognize that the person we hire may be less experienced (or more senior) than this job description as posted. If that ends up being the case, the updated salary range will be communicated with candidates during the process.
At Parsley Health we believe in celebrating everything that makes us human and are proud to be an equal opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members.
Important note:
In light of recent increase in hiring scams, if you're selected to move onto the next phase of our hiring process, a member of our Talent Acquisition team will reach out to you directly from an @parsleyhealth.com email address to guide you through our interview process.
Please note:
- We will never communicate with you via Microsoft Teams
- We will never ask for your bank account information at any point during the recruitment process, nor will we send you a check (electronic or physical) to purchase home office equipment
We look forward to connecting!
#LI-Remote
