Insurance Billing Lead

🧠 ABOUT LEGION HEALTH

Legion is building autonomous medical care (the AI doctor), starting with psychiatry. Our AI-native care-delivery platform currently automates 95% of the administrative work required for us to deliver direct patient care.

Our technical moat is hard to copy—we combine rich data, production AI, doctors in the loop, and end-to-end care operations to deliver measurably better care to a clinically complex patient population. This has helped us produce tens of thousands of total visits in just 2 years, all while holding ops costs flat and achieving industry-leading patient NPS and retention. While the last generation of healthcare startups made the existing system incrementally more efficient, Legion is rebuilding full-stack care delivery from first principles. Our vision? A 10X better patient experience that’s higher quality, less expensive, and more scalable than ever before. And a 10X better clinician experience that frees our providers to focus on what matters most: caring for patients.

Legion Health is backed by Y Combinator, leading venture capital firms, and founders from Function Health, Modern Health, Everly Health, Trusted Health, Clipboard Health, PatientPing, Sesame Care, Faire, EasyPost, and fuboTV.

Join us as we build the future of health care: faster, higher-quality, and more affordable, powered by doctors and AI working together.

📍 ROLE LOGISTICS

• Job Type: Contract
• Role Type: Operations
• Ideal Experience Level: 2+ years of experience
• Location: Fully Remote
• US Visa Sponsorship: Not Relevant

🚀 THE OPPORTUNITY

As Insurance Ops Agent, you will play a critical role in delivering a delightful, accurate, and timely billing experience for patients. You’ll work with the Head of Revenue Operations and other members of the Revenue Cycle Management team to manage insurance claim denials, rejections, and holds to ensure that claims are properly submitted and reimbursed.

✅ RESPONSIBILITIES AND DELIVERABLES

• Oversee the end-to-end claims lifecycle from claim submission to insurance reimbursement by resolving claim holds and re-submitting / appealing claim denials
• Resolve behavioral health claim denials for inactive coverage, coordination of benefits, prior authorization, documentation, non-covered services, credentialing, and coding
• Investigate insurance claim denials and, when required, make Payer calls or message patients to resolve denials

🏆 YOU’LL BE SUCCESSFUL IF YOU…

• Quickly and accurately resolve claims issues, processing 30+ claims per day
• Have strong organization and tracking of follow-ups and escalations
• Leverage strong systems thinking and drive issue resolution end-to-end

🧰 IDEAL BACKGROUND AND SKILLS

• 1+ years of Insurance claims management experience in Behavioral Health is a requirement
• Experience making Payer calls and investigating claim denials
• Familiarity with practice management softwares like Healthie & Candid Health is a plus

💰 COMPENSATION & BENEFITS

• Hourly Compensation: $5-15
• Work Hours: Flexible
• Work Setup: Fully Remote
• Impact: Work on something that truly matters to millions of patients and families.

📝 HOW TO APPLY AND HIRING PROCESS

• Overview of our hiring process:
  1. Resume + Application Screen
  2. Founder Conversation
  3. Technical Interview
• Estimated time-to-hire: 2 weeks
• Start date: ASAP
• Hiring manager: Edwin Bang

🤝 EQUAL EMPLOYMENT OPPORTUNITY

Legion Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees, contractors, and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other protected characteristic under applicable law. We encourage applicants from all backgrounds to apply.