Client Service Representative- Medical Billing

Socket.dev; San Diego (CA); On-site; USD 28,000 - 39,000; Full time

Benefits offered by this job

W2 role with competitive hourly rate

Medical, Dental and Vision on the 1st

Paid Vacation, Sick, and Holiday time

Employee Assistance Program (EAP)

401(k) plan with company contribution

Cutting-edge healthcare technology

Professional development opportunities

Collaborative work culture

Impactful role improving patient care

Job summary

Headlight in San Diego, CA, is seeking a Client Service Representative to support billing and client communication within a healthcare setting. This on-site role focuses on inquiries, insurance verification, and EHR tasks to support the billing team.

The ideal candidate has healthcare billing experience, strong attention to detail, and proficiency with billing software like NextGen, Excel, and Word. Join a mission-driven team improving mental healthcare delivery.

Qualifications

• Two years of previous experience in a medical/mental health billing office.
• Knowledge of contract requirements, eligibility, and benefit information.
• Knowledge of Medical Billing processes and procedures.
• Experience with Excel, Word, and other computer programs, including NextGen.
• Ability to read, interpret and compile procedures and information related to job duties and responsibilities.

Responsibilities

• Answer Client Phone lines and SMS/texts on Five9 portal.
• Manages Billing Emails and responds or distributes emails accordingly.
• Responds to Clinician inquiries via emails, phones and EHR tasks.
• Manages EHR tasks to Billing Team.
• Resolution of client accounts.
• Interact and provide eligibility and benefits to office staff, providers, and clients as requested.
• Coordinate account status with providers, staff, patient account representatives and management as needed.
• Verify eligibility for insurance and/or coverage changes for established clients.
• Posts CPT Testing and Paperwork charges.
• Research of insurance updates and changes.
• Review aged receivables by insurance or provider or days, follow-up on outstanding claims up to and including appeals.
• Provide account status with providers, staff, clients, and management as needed.
• Review and edit client account information as needed.
• Processes and Posts patient payments on balances due.
• Correct data entry errors and reprocess claims for payment.
• Correct Charge Entry error and resubmit corrected claims.
• Identify accounts that require further collection efforts up to and including referral to collection agency.
• Process written and verbal correspondence as related to collection efforts.
• Initiate Client Payment Plans.
• Post Adjustments to accounts accordingly.
• Reports to Billing Managers on new insurance trends and new insurance carve-outs.
• Reports to Billing Managers any insurance issues in efforts to improve quality.
• Provide input to management and/or department meetings of ideas/suggestions that would enhance department productivity.
• Participates in Billing Projects as assigned.
• Perform other duties as may be assigned.

Skills

Healthcare billing

Contract knowledge

Billing processes

Reading & interpreting procedures

Communication

Education

High School Diploma or GED

Tools

Excel

Word

NextGen

Job description

Join a team that’s transforming mental healthcare. Founded by psychiatrists, Headlight is more than a company: it’s a movement. A movement that exists on the front lines of the mental health crisis, transforming the way people access care and the way clinicians deliver it. In order to help people in their time of need and ensure that every person who comes to us has options, we are transparent about our capabilities, treatments, and coverage, we champion innovation, and we leverage our rich data to continuously implement better ways of delivering care. Our mission is simple but powerful: Improving lives, one session at a time.

Our highly skilled and principled clinical team enjoys autonomy and institutional support so they can put their focus where it should be: on improving patient outcomes. Our clinicians want to do more than help individual clients, so they work to affect the system as a whole, elevating standards of care so that their efforts reverberate far beyond what they could do in private practice.

As the most trusted behavioral health partner in the Western U.S., we’ve established deep relationships that give us unparalleled access, interoperability, and first-priority referrals. This exclusivity, combined with our best-in-class coordinated care and feedback loops, results in superior outcomes and cost savings.

Our services are convenient, accessible, and expert, combining personalized client engagement with advanced technology to enhance, not replace, human connection. Indeed, we hold that human-to-human relationships are indispensable, so from the match to the session to the time between sessions, we provide whole person care so nobody falls through the cracks and there is a brighter path forward for all.

This role reports in the VP of Revenue Cycle Management. The Client Service Representative manages client communication and billing in healthcare. Responsibilities include handling inquiries via phone, texts, and emails, responding to clinician inquiries, overseeing EHR tasks, and coordinating with the billing team. Tasks involve resolving accounts, verifying insurance, managing charges and payments, and following up on claims. Staying updated on insurance trends, reporting issues to management, and participating in billing projects are key. Strong communication, attention to detail, proficiency in billing software and EHR systems, and knowledge of insurance processes are vital for success. We are looking for someone to join us in our office in Mission Valley.

Our Pillars

• Make things easier.
• Forge genuine connections.
• Elevate the standard.

Roles and Responsibilities

• Answer Client Phone lines and SMS/texts on Five9 portal.
• Manages Billing Emails and responds or distributes emails accordingly.
• Responds to Clinician inquiries via emails, phones and EHR tasks.
• Manages EHR tasks to Billing Team.
• Resolution of client accounts.
• Interact and provide eligibility and benefits to office staff, providers, and clients as requested.
• Coordinate account status with providers, staff, patient account representatives and management as needed.
• Verify eligibility for insurance and/or coverage changes for established clients.
• Posts CPT Testing and Paperwork charges.
• Research of insurance updates and changes.
• Review aged receivables by insurance or provider or days, follow-up on outstanding claims up to and including appeals.
• Provide account status with providers, staff, clients, and management as needed.
• Review and edit client account information as needed.
• Processes and Posts patient payments on balances due.
• Correct data entry errors and reprocess claims for payment.
• Correct Charge Entry error and resubmit corrected claims.
• Identify accounts that require further collection efforts up to and including referral to collection agency.
• Process written and verbal correspondence as related to collection efforts.
• Initiate Client Payment Plans.
• Post Adjustments to accounts accordingly.
• Reports to Billing Managers on new insurance trends and new insurance carve-outs.
• Reports to Billing Managers any insurance issues in efforts to improve quality.
• Provide input to management and/or department meetings of ideas/suggestions that would enhance department productivity.
• Participates in Billing Projects as assigned.
• Perform other duties as may be assigned.

Qualifications

• Possess a High School Diploma or GED/High School Equivalency.
• Two years of previous experience in a medical/mental health billing office.
• Knowledge of contract requirements, eligibility, and benefit information.
• Knowledge of Medical Billing processes and procedures.
• Experience with Excel, Word, and other computer programs, including but not limited to NextGen.
• Ability to read, interpret and compile procedures and information related to job duties and responsibilities.

Benefits

• W2 role with competitive hourly rate.
• Medical, Dental and Vision on the first of the month after employment
• Paid Vacation, Sick, and Holiday time
• Employee Assistance Program (EAP) provides confidential counseling services, resources, and support to help you navigate personal or professional challenges.
• 401(k) plan with company contribution
• Opportunity to work in a cutting-edge healthcare technology environment
• Professional development opportunities and training
• Collaborative and supportive work culture
• Impactful role contributing to the enhancement of patient care and healthcare processes

If you need any accommodations for your interview please email [e-mail] prior to scheduling.

Not meeting all the requirements? Research indicates that women, communities of color, and historically underrepresented individuals are often hesitant to apply for jobs unless they meet every qualification. We are committed to cultivating a diverse, inclusive, and genuine workplace. If you're enthusiastic about this position but your previous experience doesn't precisely match every qualification listed, we enthusiastically encourage you to submit your application. You could be the ideal candidate for this role or others!

Headlight is committed to the principles of diversity, equity, and inclusiveness and seeks to create a working environment reflective of this commitment. We seek to provide a diverse clinician base to support the diversity of our clients. Headlight supports and respects diversity of people, culture, and ideas throughout our organization. Headlight thrives to be a welcoming, diverse and discrimination- and harassment-free workplace.

By applying for this position, you consent to receive future communications from Headlight via email or text regarding this application and related employment opportunities. You may opt-out at anytime by contacting us directly.

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