Member Account Representative (Hybrid)

Compensation: $20.00-$21.00 per hour

Location: Hybrid (3 days in office)

Schedule:

• Full time

• M-F, 9:00-5:30 EST

Why Workit:

Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives.

We're excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible.

We believe everyone deserves respectful, effective treatment for substance use disorder at the moment they're ready for it. We're looking for driven and compassionate individuals who share this goal. Join us in reducing stigma, saving lives, and changing the way addiction is treated in America.

Job Summary:

Workit Health is seeking an experienced full-time Revenue Cycle Member Account Representative to intake billing phone calls, billing chats, process insurance eligibility checks, and scrub claims prior to submission to insurance. The ideal candidate will have experience with a variety of payers, especially Medicaid MCOs, experience obtaining and identifying prior authorization requirements, and excellent customer service skills. Candidates will demonstrate patient and empathetic communication to our members, be able to work accounts promptly and be open to workflow changes. Workit Health is a fast-paced, fluid environment where changes are frequent and employee input is highly valued.

Core Responsibilities:

• Working knowledge of medical software, insurance websites, and EHR. Elation or Candid is a plus

• Ability to identify and solve pre-submission claim errors

• Answer all chats and phone calls in a timely manner during business hours

• Communicate effectively with patients, physicians, management, employees, and third-party representatives

• Adhere to professional standards, company policies and procedures, federal, state, and local requirements, and HIPAA standards.

• Be able to manage a high volume of calls, chats, and tasks while maintaining production and quality standards.

Qualifications:

• Requires a High School Diploma and a minimum of 2 years of current Revenue Cycle experience

• CPC certification is preferred

• Requires ability to multitask while answering phones. Multi-line experience preferred.

• Requires basic knowledge of ICD-10, CPT, and HCPCS

• Requires understanding of identifying insurance benefits and authorization requirements.

• CPB certification is a plus

• Understanding of government rules and regulations and areas of scrutiny for potential areas of risk for fraud and abuse in regards to coding and documentation

• Must be able to work independently and rely on personal knowledge/experience for problem-solving. Must have experience with MS Word and Excel

• Must be detail-oriented and have excellent organizational and time management skills.

• Candidates must excel at providing a high level of customer service and be able to work in a team environment

• Requires strong analytical skills and attention to detail, including writing and verbal communication skills and a professional positive attitude

Benefits:

• 5 weeks PTO (plus your birthday off!)

• Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs

• Company contributions to dependent premiums at higher than market rates (65%)

• 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families)

• 401k + matching

• Healthcare & dependent care Flexible Spending Accounts (FSA)

• Flexible schedules and flex-time work for all full-time and part-time employees

• Employee assistance program, complete with financial coaching and counseling sessions

• Professional development allowance for healthcare providers

• Opportunities for professional development and growth within the company

• Fully remote roles throughout the company

• Vibrant, employee-driven cultural initiatives including multiple ERG groups

• Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations

As we are an addiction recovery company founded by people in recovery, those in addiction recovery themselves are encouraged to apply. Workit Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.