Specialist II, RCM Collections
1 нед. назад
26.44–28.85 USD / часСтрана неизвестнаMiddleRemote
Responsible for collections and improving financial accuracy through claims denials management in mental healthcare.
О компании
- Grow was born to tackle a critical challenge: making mental health care more effective and accessible for everyone. Since launching in 2020, 15 million sessions have started on Grow, and we've barely scratched the surface. We do it through a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Every solution we build reveals ten more waiting to be delivered, and that's just what gets us going. We've backed that ambition with more than $328M in funding, including our Series D at a $3B valuation from Sequoia Capital, Transformation Capital, TCV, SignalFire, Menlo Ventures, Goldman Sachs Alternatives, and others.
- At Grow, the work you do can literally change someone's life. Your work here doesn't stay on a screen; it impacts whether someone can find, afford, and access quality care. That ambition sets us apart, and offers you an endless runway to impact one of the world's most urgent issues. We don’t have passenger seats here. Everyone is driving something that matters.
- This work deserves real commitment. So if you thrive on meeting problems head on, untangling serious complexity, and working at pace with the sharpest yet kindest people around, you've come to the right place.
Обязанности
- We're looking for an experienced Specialist II, Collections, passionate about improving the landscape of mental healthcare. This position will help ensure Grow’s financial accuracy by working claims denials and resolving issues for correct processing
- You will be responsible for identifying root causes and crafting suggested fixes to be implemented upstream within the RCM process to reduce denial inflow. Additionally, we are looking for someone who can make bulk corrections to claim denials that span across multiple clients with the same denial type.
- You will report directly to the Supervisor, Collections, and work closely with the 4 Pods with Collections Follow-up. From day one, you'll have real ownership and the opportunity to help optimize our Collections process, which supports Grow's mission to expand access to mental healthcare.
- Researching and finding solutions to denied claims.
- Completing portal inquiries and/or outbound calls to insurance reps to investigate denial reasons.
- Resubmitting claims with errors, utilizing knowledge of CMS 1500 forms and a broad understanding of data, coding, and policy errors.
- Drafting appeals for relevant claim denials, adhering to medical policies for all insurance carriers.
- Ensuring patient data in the software is correct and up to date, and contact the appropriate person for any inconsistencies.
- Prioritizing claim denials based on the internal Claim Prio Model.
- Flagging root causes and craft suggested fixes that can be made upstream within the RCM process to reduce denial inflow.
Требования
- 3 years of Medical Billing experience.
- Technical Skills - proficient in multitasking and working through different systems.
- Process-Driven - strong at learning new processes and following the appropriate steps to seek resolution.
- Strong team player who can collaborate with peers and promote a positive working atmosphere.
- Experience at a start-up in Mental Health or Billing/Collections.
- Employment Type: Hourly, Non-Exempt Base Compensation: The hourly compensation rate for this position is:
- Fully Remote Commitment: $28.85
- This role is fully remote.
- If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume.
- Note: Please upload your resume in PDF format
Условия
- Health Benefits : Comprehensive medical, dental, vision, life, and disability coverage.
- Grow for Grow: No cost access to therapy through the Grow platform (available to US employees)
- Financial Wellness : Retirement savings programs and equity opportunities to help you invest in your future.
- Flexible Time Off, Paid Holidays & Winter Break : Flexible time off, company paid holidays (which vary by country), and a full company wide Winter Break to rest and recharge
- Parental Leave : Up to 18 weeks of paid parental leave to support you and your growing family and a new child stipend.
- Mental Health Mornings/Afternoons : Dedicated weekly flexible time for self care, whether that's therapy, exercise, journaling, time with family, or simply taking a break.
- Wellness & Development Stipend : Annual stipend to support your personal wellbeing and professional growth, from fitness and education to books and learning resources.
- Commuter Benefits: Pre tax commuter benefits to support teammates working from one of our hub locations.
- Home Office & Meals : Support for your home workspace plus meal benefits, with offerings tailored to both remote and hub based employees.
- Additional Perks: A variety of wellbeing benefits, including wellness memberships, virtual care, pet insurance discounts (where available), and global travel assistance.
- Research shows that some groups hesitate to apply unless they meet every qualification. If you’re excited about this role but don’t check every box, we encourage you to apply. At Grow, we value diverse experiences, transferable skills, and the unique strengths each person brings.
- Use of AI Tools: We use certain AI and automated tools to support recruitment. These tools help our team review applications, organize interviews, detect potential application integrity issues, and maintain interview records; they do not make final hiring decisions.
- Application Review: Ashby's AI-Assisted Application Review helps review application materials against role-specific criteria and may flag potential fraud or integrity issues for recruiter review. All advancement decisions are made by our human recruiting team after independent review. See Ashby's AI Bias Audit Report .
- Interview Recording: We use BrightHire to record interviews, supporting note-taking and consistency across candidates. Learn more . Interviews are confidential; you may ask your interviewer to stop recording anytime, or opt out in advance . Choosing not to be recorded will not, by itself, affect your candidacy.
- AI-Assisted Recruiter Screen: For select roles, BrightHire's AI features may help structure initial recruiter screens and organize interview notes. All responses are reviewed by our recruiting team; no hiring decisions are made by AI alone.
- State-specific notices: Depending on your location, you may have additional rights. Illinois: If AI analyzes a video interview, we'll provide notice, explain how it works and what it evaluates, and obtain consent beforehand. New York City: Where required, we'll provide at least 10 business days’ notice before using an automated employment decision tool and explain how to request an alternative process. Maryland: We do not use facial recognition to create facial templates during interviews unless required notice and written consent are obtained.
- Questions, accommodation requests, requests for an alternative selection process, objections to recording, or concerns about AI use? Contact talentops@. We’re happy to help or offer an alternative way to participate.