Insurance Operations Specialist
About us:
Here at Trovo Health, we’re on a mission to help solve healthcare’s clinical capacity crisis. By combining AI-powered technology with a proprietary network of ancillary clinicians, we allow our partners to access transformative clinical capabilities.
We’ve raised funding led by Oak HC/FT - backers of leading clinical technology companies such as Devoted Health, VillageMD, CareBridge, Main Street health, Maven Clinic, and more.
We’re headquartered in NYC, and embrace a hybrid work culture.
About the Role:
The Insurance Operations Specialist will optimize billing, coding, collections, and reimbursement using AI-driven insights. This role ensures accuracy, compliance, and efficiency while identifying process improvements. Combining strategic oversight with hands-on execution, this role will resolve claim issues, manage escalations, and provide subject matter expertise. The ideal candidate has deep experience in revenue cycle management, payer policies, and healthcare billing, with a proactive approach to ensuring timely reimbursements.
Key Responsibilities
- Triage denials and investigate billing-related issues to drive outcomes for clinics and their patients.
- Work directly with operations, billing, engineering, and data entry teams to inform insurance-related product development.
- Synthesize and communicate insights on opportunities to improve insurance billing operations.
- Understand complex insurance logic across payers and contribute to AI models that enhance billing accuracy and efficiency.
- Design, build, and maintain strategies, infrastructure, and processes that drive revenue cycle efficiency and accuracy.
- Assist in end-to-end tracking of the revenue cycle funnel from claim submission to payment resolution.
- Drive process improvements and workflow optimizations in collaboration with the Commercial and Operations teams.
Qualifications:
- Bachelor's degree in healthcare administration, business, finance, or related field (preferred).
- 3+ years of experience in revenue cycle management or insurance operations, ideally within a healthcare SaaS or healthcare organization.
- Strong knowledge of medical billing, coding (CPT, ICD-10), payer reimbursement policies, and revenue cycle technology.
Benefits of Working with Us Include:
- Hybrid and remote friendly work environment
- Competitive Salary $30/hr-$40/hr based on candidate experience
Trovo Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. 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.
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