Operations Specialist, New Venture at Spring Health Inc

, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

03 Mar, 26

Salary

77250.0

Posted On

03 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Support, Medical Billing, Healthcare Claims, Insurance Plan Benefits, Medical Terminology, Electronic Health Records, Billing Software, Data Entry, Financial Record Keeping, Communication Skills, Analytical Skills, Problem-Solving Skills, Process Improvement, Client Education, Support Inquiries

Industry

Mental Health Care

Description

Our mission: to eliminate every barrier to mental health. At Spring Health, we’re on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. Our clinically validated technology, Precision Mental Healthcare, empowers us to deliver the right care at the right time—whether it’s therapy, coaching, medication, or beyond—tailored to each individual’s needs. We proudly partner with over 450 companies, from startups to multinational Fortune 500 corporations, as a leading provider of mental health service, providing care for 10 million people. Our clients include brands you use and know like Microsoft, Target, and Delta Airlines, all of whom trust us to deliver best-in-class outcomes for their employees globally. With our innovative platform, we’ve been able to generate a net positive ROI for employers and we are the only company in our category to earn external validation of net savings for customers. We have raised capital from prominent investors including Generation Investment, Kinnevik, Tiger Global, Northzone, RRE Ventures, and many more. Thanks to their partnership and our latest Series E Funding, our current valuation has reached $3.3 billion. We’re just getting started—join us on our journey to make mental healthcare accessible to everyone, everywhere. 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. Benefits provided by Spring Health: 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. Not sure if you meet every requirement? Research shows that women and people from historically underrepresented communities often hesitate to apply for roles unless they meet every qualification compared to other similarly-qualified candidates. At Spring Health, we are committed to fostering a workplace where everyone feels valued, empowered, and supported to Thrive. If this role excites you, we encourage you to apply. Ready to do the most impactful work of your life? Learn more about our values, what it’s like to work here, and how hypergrowth meets impact at Spring Health: Our Values Our privacy policy: https://springhealth.com/privacy-policy/ Spring Health is proud to be an equal opportunity employer. We do not discriminate in hiring or any employment decision based on race, color, religion, national origin, age, sex, marital status, ancestry, disability, genetic information, veteran status, gender identity or expression, sexual orientation, pregnancy, or other applicable legally protected characteristic. We also consider qualified applicants regardless of criminal histories, consistent with applicable legal requirements. Spring Health is also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. If you have a disability or special need that requires accommodation, please let us know.

Responsibilities

The Operations Specialist will manage the end-to-end billing cycle for a new venture, including eligibility verification, claim submission, and payment posting. This role will also involve creating operational documentation and addressing support inquiries from clients and providers.