Billing Specialist

Job Description

Job Description

About TouchCare

TouchCare is a healthcare concierge service dedicated to simplifying the complexities of health insurance and the healthcare system. By assigning each member a personal assistant, TouchCare helps resolve billing issues, coordinate with providers, and save individuals time and money. Committed to providing a healthier understanding of healthcare, TouchCare makes navigating healthcare more convenient and stress-free for its users.

TouchCare is a health tech organization headquartered in Stamford, CT and with offices in Shrewsbury, NJ. The Company provides a personal on-demand, white-glove healthcare concierge service that helps its members find the highest quality, most convenient, lowest out-of-pocket care; available via web, phone, and mobile app.
The Company's customers include large self-insured companies and small to medium-size businesses who provide TouchCare to their employees as a benefit.

A Billing Specialist at TouchCare is a dedicated service professional who understands how health insurance plans work and who wants to help educate our members.
● If you have previous experience in a healthcare office, this role may be a good fit for applying your current claims knowledge to truly help members.
● A successful candidate will work on the members' behalf to understand claims adjudication guidelines and resolve medical, dental and vision billing issues for our members.
● Excellent organizational skills, ability to manage multiple concurrent deadlines and exceptional attention to detail are essential to this position.
● It's a rewarding position that encompasses investigation and communication skills.
● Essential Job Functions: Handle some escalated and complex cases in a timely manner to identify opportunities to resolve the issue by working with plan documents, carriers, providers, and members.
● Research plan information and identify where there may be conflicting information
● Research billing issues to determine the possible cause of the error, and assisting with claims resubmission when needed to correct the issue.
● Serve as a resource of help to other claims specialists who need assistance and have questions on their cases
● Working with these resources to analyze and resolve billing issues:
○ Plan documents and plan benefits
○ Interpretation of benefits
○ Medical, dental, vision, behavioral health billing and claims adjudication
○ FSA, HRA and HSA plans

Minimum Requirements:
● Bachelor's degree and/or 3-5 years claims experience
● Previous medical office experience a plus
● Strong research and analytical skills
● Ability to work independently and escalate for assistance as needed
● Strong communication and ability to work with various internal and external parties to resolve member issues
● Excellent organizational, time management, and customer service skills
● Ability to proactively identify payer and provider trends, and to communicate this to management
● Excellent listening skills and ability to empathize with members
● Excellent computer skills and experience in Microsoft Office Suite

About you:
● You are a service-focused, highly personable individual who loves dealing with people, solving their problems, and providing them with a great customer experience
● You have a bachelor's degree and/or 3-5 years claims management experience
● Ability to proactively identify payer and provider trends, and to communicate any recognizable trends to management
● Excellent listening skills and ability to empathize with members
● Excellent interpersonal and communications skills (verbal and written) is a must with the ability to effectively collaborate with other Health Assistants, members, clients, and all levels of management
● You are relentlessly inquisitive, love researching and finding new answers
● You have strong analytical skills and understand advocacy vs simply answering a question
● You act professionally, especially when assisting others who are experiencing challenges
● Multitasking and working quickly and efficiently is something you do well
● Must be able to work independently and as a part of a team with the ability to react to a rapidly growing consumer base
● You are passionate about making a difference in people's lives
● You have a positive outlook on life and you are willing to go above and beyond to offer assistance to others. Helping others is important to you.
● Excellent computer skills

We are a dynamic team, building the company from the ground up. We are hardworking and eager to assist with building any area of the company where we can add value. We are looking for similar minded people who can continue on a path of growth and excellence.

Why Join Us?

• Professional Growth: Gain exposure to diverse accounting functions and portfolio company
• Collaborative Environment: Work closely with a supportive team that values your contribution.
• Fast-Paced & Rewarding: No two days are the same in our deadline-driven, high-energy office.

Compensation: The salary range for this role is $60,000-$70,000 , based on experience, skills, qualifications, and alignment with the scope of the role.

Benefits: TouchCare offers a competitive benefits package, including medical, dental, vision, paid time off, parental leave, and other company-sponsored benefits.

Location & Work Environment: This is a remote/hybrid position. Candidates should be within reasonable commuting distance of our Shrewsbury, NJ office and available to work onsite as needed for team collaboration, meetings, and other business needs. Local candidates are preferred.

T ouchCare is an Equal Opportunity Employer. We are committed to building a diverse and inclusive workplace and consider all qualified applicants without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status.