Operations Specialist, New Venture

We are looking for an Operational Specialist, New Venture to join our team, specifically supporting an exciting new business initiative and reporting into Operational leadership. This role will serve as the first operational support hire for our new venture team, and will be focused on managing and responding to support inquiries, the accurate and timely billing of clients, and managing insurance claim submissions. As the first hire in this support function, this person will also help in creating scalable processes for future team members to use.

We are only considering candidates based on the East Coast, with a strong preference for those located in the New York City area. 

What you’ll be doing:

• Create processes and manage end-to-end billing cycle for the new venture business line, including eligibility verification, claim submission, payment posting, and denial management.
• Create and maintain operational documentation that can be used to educate and train future and cross-functional team members.
• Accurately prepare and submit insurance claims and invoices, including super bills, to ensure timely reimbursement.
• Investigate and resolve claim denials and rejections efficiently, communicating with insurance carriers to appeal or correct claims as needed.
• Actively investigate, troubleshoot and address issues, providing clear explanations and guidance to internal and external stakeholders.
• Manage and respond to support inquiries from clients and providers regarding the use of our platform in a timely manner.
• Identify and implement process improvements to enhance support efficiency and reduce manual efforts.
• Educate clients and providers on billing processes, insurance plan benefits, and financial responsibilities related to the new venture's services.

What success looks like in this role:

• Effective Issue Resolution: Efficiently resolves issues, leading to high satisfaction with support.
• Accurate & Timely Billing: Consistently achieves high rates of clean claim submissions and timely payment processing, minimizing denials and rejections.
• Operational Efficiency: Contributes to the development and streamlining of billing processes for the new venture, demonstrating adaptability and proactive problem-solving in a dynamic environment.
• Financial Health Contribution: Directly supports the financial health of the new venture through diligent claim management and accurate payment reconciliation.
• Strong Communication: Provides clear, concise, and empathetic communication regarding billing matters to clients, providers, and internal teams.

What we expect from you:

• 1-3 years in customer support facing role at a software or SAAS company
• Experience in medical billing, preferably within a healthcare or mental health setting, preferred, but not required
• Strong understanding of healthcare claims, insurance plan benefits, and medical terminology.
• Proven experience with electronic health records (EHR) and billing software/platforms.
• Extremely Detail-oriented with a high degree of accuracy in data entry and financial record keeping.
• Excellent written, verbal, and listening communication skills, with a customer service mindset.
• Strong analytical and problem-solving skills to investigate and resolve billing discrepancies.
• Ability to work independently and collaboratively in a fast-paced, startup-like environment.
• Proactive, adaptable, and eager to build and optimize new processes.

The target base salary range for this position is $62,500 - $77,250, and is part of a competitive total rewards package including stock options and benefits. Individual pay may vary from the target range and is determined by a number of factors including experience, location, internal pay equity, and other relevant business considerations. We review all employee pay and compensation programs annually using Radford Global Compensation Database at minimum to ensure competitive and fair pay. 

Note: We have even more benefits than listed here and below, your recruiter will provide more in-depth information as you continue in the interview process. Benefits are subject to individual plan requirements and eligibility criteria.

• Health, Dental, Vision benefits start on your first day at Spring. You and your dependents also receive access to One Medical accounts HSA and FSA plans are also available, with Spring contributing up to $1K for HSAs, depending on your plan type.
• Employer sponsored 401(k) match of up to 2% for retirement planning
• A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents.
• We offer competitive paid time off policies including vacation, sick leave and company holidays.
• At 6 months tenure with Spring, we offer parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents.
• Access to Noom, a weight management program—based in psychology, that’s tailored to your unique needs and goals. 
• Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses.
• Access to Wellhub,  which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription
• Access to BrightHorizons, which provides sponsored child care, back-up care, and elder care
• Up to $1,000 Professional Development Reimbursement a year.
• $200 per year donation matching to support your favorite causes.