Insurance Billing Lead

About the Company

Legion Health is building autonomous medical care (the AI doctor), starting with psychiatry. Our AI-native care-delivery platform automates the administrative work required to deliver direct patient care, aiming to provide a 10X better patient and clinician experience through AI-driven infrastructure.

Responsibilities

• Oversee the end-to-end claims lifecycle from claim submission to insurance reimbursement
• Resolve claim holds and re-submit or appeal claim denials
• Resolve behavioral health claim denials related to inactive coverage, coordination of benefits, prior authorization, documentation, non-covered services, credentialing, and coding
• Investigate insurance claim denials and make Payer calls or message patients to resolve issues

Requirements

• 1+ years of insurance claims management experience in Behavioral Health
• Experience making Payer calls and investigating claim denials
• Ability to quickly and accurately resolve claims issues, processing 30+ claims per day
• Strong organization and tracking of follow-ups and escalations
• Strong systems thinking to drive issue resolution end-to-end

Preferred Qualifications

• Familiarity with practice management software such as Healthie or Candid Health