RCM Associate, Member AR & Pre-Access (Contractor)

Sword; United States; Remote; USD 34,000 - 55,000; Part time

Job summary

Sword is seeking a Billing Specialist to join our remote US team. You will support timely and accurate financial clearance, authorization work, and member billing inquiries in a fast-paced healthcare environment.

You'll collaborate with the Billing, Coding, and Member Support teams, ensure HIPAA compliance, and help optimize workflows while delivering clear communication to members and payers.

Qualifications

• 3+ years of Revenue Cycle Management experience in healthcare billing.
• Experience with financial clearance, insurance verification, and authorizations.
• Experience speaking with members about billing or insurance.
• Proficiency in Excel and comfortable with data analysis.
• Experience communicating with payers to resolve issues.
• Familiarity with billing, coding, and claims follow-up.
• Ability to work across multiple systems and workflows.
• Strong attention to detail and problem solving.
• Self-starter with quick learning and good communication.
• Passion for advocating for Sword’s members.

Responsibilities

• Review authorization, referral, and eligibility issues from the billing team, and work them to resolution while meeting productivity and quality targets.
• Learn and apply payer-specific requirements, including authorizations, referrals, carve-outs, and TPA plans.
• Communicate with members to obtain financial information and verify insurance coverage.
• Calculate member financial responsibility and provide accurate cost estimates.
• Review billing activity and transaction history to answer member billing questions.
• Accurately record and reconcile member payments in the practice system.
• Identify collection opportunities, including payment plans and hardship applications, and escalate as appropriate.
• Coordinate with the coding team and clinicians when coding questions arise, and with Member Support on billing and collection questions.
• Maintain accurate and complete member records in the electronic medical record and billing systems.
• Pull reports and review balance and authorization data to spot trends, and share findings with your lead or manager.
• Flag workflow pain points and suggest improvement ideas.
• Support new workflow rollouts and help keep standard operating procedure documentation up to date.
• Partner with teammates, and occasionally Product / Engineering, to resolve RCM issues.
• Escalate complex or unresolved issues to the team lead or manager.
• Complete other assignments as requested.
• Uphold HIPAA compliance guidelines and all relevant regulations.

Skills

Revenue Cycle Management

Financial clearance

Insurance verification

Authorizations

Member billing

Excel

Payers communication

Data analysis

Attention to detail

Communication skills

Tools

Billing software

Microsoft Office

EMR system

Job description

RCM Associate, Member AR & Pre-Access (Contractor)

Remote - US

At Sword, we’re building AI to heal billions and unlock humanity’s full potential. In doing so, we’re pioneering AI Care, a fundamentally new approach to healthcare built for medical reasoning, safety, and real-time treatment, not generic technology applied after the fact. As both a clinical-centric frontier AI lab and an applied AI platform, Sword is reimagining how care is delivered at scale, removing traditional barriers like appointments, waiting rooms, and stigma so more people can access the care they need—and ultimately get back to lives lived in full.

Since 2020, Sword has expanded across physical therapy, women’s health, cardiometabolic, and mental health, and is now moving beyond the session to a fully AI-native, 24/7 care program that brings physical activity, therapeutic exercise, psychotherapy, nutrition, and behavior change into one connected experience. More than 700,000 members across three continents have completed over 10 million AI sessions, helping 1,000+ enterprise clients avoid more than $1 billion in unnecessary healthcare costs. Backed by 42 clinical studies, 44+ patents, and more than $500 million raised from leading investors including Khosla Ventures, General Catalyst, and Founders Fund, Sword is defining a new standard for healthcare.

AIProficiency at Sword

AI fluency is a core expectation at Sword. Every candidate is assessed against our three-level framework — be ready to share real examples of how AI is already part of how you work.

Explorer (Level 1) — Uses AI daily to boost personal productivity

Builder (Level 2) — Creates workflows and tools that elevate the whole team

Integrator (Level 3) — Embeds AI into products and processes at scale

Every hire must demonstrate at least Level 1. The expected level will vary depending on the seniority of the role.

Role

We’re looking for a Billing Specialist who can combine their healthcare experience with a fast-paced and ever-changing environment. You’ll work with the Billing team to support timely and accurate financial clearance and claims submission, research and resolve authorization, referral, eligibility, and member billing questions, and help document and improve team processes so billing is handled correctly from start to finish.

What you’ll be doing

• Review authorization, referral, and eligibility issues from the billing team, and work them to resolution while meeting productivity and quality targets
• Learn and apply payer-specific requirements, including authorizations, referrals, carve-outs, and TPA plans
• Communicate with members to obtain financial information and verify insurance coverage
• Calculate member financial responsibility and provide accurate cost estimates
• Review billing activity and transaction history to answer member billing questions
• Accurately record and reconcile member payments in the practice system
• Identify collection opportunities, including payment plans and hardship applications, and escalate as appropriate
• Coordinate with the coding team and clinicians when coding questions arise, and with Member Support on billing and collection questions
• Maintain accurate and complete member records in the electronic medical record and billing systems
• Pull reports and review balance and authorization data to spot trends, and share findings with your lead or manager
• Flag workflow pain points and suggest improvement ideas
• Support new workflow rollouts and help keep standard operating procedure documentation up to date
• Partner with teammates, and occasionally Product / Engineering, to resolve RCM issues
• Escalate complex or unresolved issues to the team lead or manager
• Complete other assignments as requested
• Uphold HIPAA compliance guidelines and all relevant regulations

What you need to have

• 3+ years of Revenue Cycle Management experience, with working knowledge of medical billing claims
• Familiarity with financial clearance, insurance verification, or authorizations
• Experience speaking directly with members or patients about billing or insurance
• Working knowledge of billing, coding, and claims follow-up
• Experience communicating with payers to resolve issues
• Proficiency in Excel and comfort with basic data analysis
• Comfort with claims billing software and Microsoft Office, and a desire to learn new tools
• Ability to work across multiple systems and workflows
• Strong attention to detail and problem-solving skills
• Strong communication and interpersonal skills
• Self-starter who asks questions and learns quickly
• Passion for advocating for Headspace’s members

Preferred:

• Experience in behavioral health, mental health, telehealth, or digital health billing
• Experience in B2B2C healthcare
• Exposure to health plan / EAP

*The range below reflects base, variable, and equity for this role.

This is a starting point, not a ceiling — once someone joins and proves they're outlier talent, we adjust quickly to make sure their compensation matches their impact.

Job titles may span more than one career level, so actual pay depends on skills, qualifications, experience, location, and market demand, among other factors. The range reflects base salary plus any variable, bonus, or sales incentives, and our estimate of the value of private company stock options where applicable. It's subject to change, and future stock value isn't guaranteed. Sword also offers additional benefits beyond total compensation.

Total Compensation Range

Country-specific benefits may vary and will be detailed separately.

Sword Health complies with applicable Federal and State civil rights laws and does not discriminate on the basis of Age, Ancestry, Color, Citizenship, Gender, Gender expression, Gender identity, Gender information, Marital status, Medical condition, National origin, Physical or mental disability, Pregnancy, Race, Religion, Caste, Sexual orientation, and Veteran status.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Sword’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

By checking this box, I agree to allow Sword to retain my data for future opportunities for employment for up to 730 days after the conclusion of consideration of my current application for employment.

At Sword, we use AI to surface the right information at the right moment. However, AI never replaces human judgment.