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Are you energized by helping others? Are you a builder who thrives on fast-paced, high-impact work? Are you driven to change the standard of care in women’s health?

The Lactation Network is hiring a Billing Specialist. Reporting into the Billing Team Lead, the Billing Specialist is a key member of the billing team and is responsible for processing health insurance claims, specifically for breast pumps and other DME, as well as collecting and entering insurance claim information.

We are a small, tight-knit, purpose-driven organization with aggressive growth goals in 2023 and beyond. We don’t have all the answers and we don’t expect you to, either. We do expect you to be curious, hardworking, and strive to be your best self.

Breakdown of the role

• Claims & Eligibility (50%). As a Billing Specialist, you’ll ensure timely and accurate submissions of claims and conduct benefit calls on behalf of the patient to ensure they are covered through us.
• Patient & Insurance Communication (40%). You’ll handle patient and insurance calls, while managing a billing inbox. This role is responsible for addressing and resolving patient issues and concerns regarding their claim.
• Record Handling (10%). Ability to move through database systems quickly and efficiently while maintaining a high attention to detail.

What you’ll do

• Organize hundreds of patients’ paperwork and submit completed paperwork to insurance providers and billing partners.
• Ensure correct paperwork is submitted and prescriptions are on file.
• Correctly fax both prescriptions and medical records to insurance companies
• Responsible for billing all products and services.
• Ensure billing is completed in a timely matter.
• Support the billing coordinator with the confirmation of benefits when necessary.
• Contributes to team effort by not only delivering on defined responsibilities, but also supporting other team members in their roles as needed.
• Keep up with changes in the billing system, with insurance carriers, and/or with networks and clearly communicate any issues and barriers.

What we expect from you
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Undergraduate degree (preferred)
• 1-3 years of billing and/or collection experience working in a healthcare setting
• Experience working with payers including Commercial, Medicare, Medicare Advantage, Medicaid, and Managed Care
• Strong knowledge of Windows-based software applications (Outlook, Word, Excel) and third-party portals
• Ability to multi-task and work in a fast-paced environment
• Excellent written and oral communication skills to effectively communicate with payors and other departments.
• Ability to outline and clearly communicate root causes of common problems and recommend solutions.
• Capable of making timely, independent decisions
• Exceptional customer service skills required, including interpersonal conversation, patience, and empathy.

What you can expect from us

• Unlimited PTO. We work hard. We’re passionate about what we’re building together. We also have lives outside work.
• Benefits. Medical plus voluntary vision, dental. (We are a healthcare company, after all.)
• 401(k) with employer match. We’re planning for the future—and we want to help you do the same.
• Flexibility on remote work. We like spending time together in our West Town office and are transitioning to a flexible in-office culture for those who want to return to work in-person. Some team members will continue to work remotely (based upon role and/or geography).
• Wellness. You’ll have complimentary access to the leading app for meditations, sleep stories, and other wellness resources.
• Recharge. We have one designated “no meeting day” each week so you can take a break from videoconferencing and have some quiet time to focus.
• Professional development. We invest in our team by offering every employee access to a professional development budget.
• Competitive compensation. We’re looking for top talent.
• A growth environment. The sky’s the limit.

About Lactation Network
The Lactation Network is setting a new standard for parents and lactation consultants alike. At TLN, our movement goes beyond any single outlet or tool. We activate education, connection, and advocacy to foster the new network of inclusive care between parents and IBCLCs; the network where every caregiver has the resources to thrive. TLN is powered by the largest network of IBCLCs in the country. Together, we are here to make sure families get the expert insurance covered lactation care that they deserve.

The Lactation Network is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.