Insurance Ops Agent (backed by Y Combinator, $[X]M+ ARR, $[X]M+ raised)
Legion Health, Inc., Austin, TX, United States
About Legion Health
At Legion Health, we believe everyone deserves fast, affordable, and effective mental health care, and we’re on a mission to deliver that at scale.
Legion Health is a full-stack AI-native psychiatry network—our clinicians provide care directly to patients, and AI agents automate all parts of our care operations (e.g., scheduling, risk analysis, billing, etc.). 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.
Join us as we build the future of mental health—and the highest‑quality, most efficient, and widest-reaching vehicle in healthcare. Powered by both humans and AI.
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: $8-15
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:
Resume + Application Screen
Founder Conversation
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.
#J-18808-Ljbffr
Legion Health is a full-stack AI-native psychiatry network—our clinicians provide care directly to patients, and AI agents automate all parts of our care operations (e.g., scheduling, risk analysis, billing, etc.). 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.
Join us as we build the future of mental health—and the highest‑quality, most efficient, and widest-reaching vehicle in healthcare. Powered by both humans and AI.
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: $8-15
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:
Resume + Application Screen
Founder Conversation
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.
#J-18808-Ljbffr