Billing and Collections Specialist

About Enara

Enara is a world renowned obesity and medical weight loss start-up, based in Silicon Valley, pioneering the use of data, digital, and clinical treatments to provide personalized plans with measurable results. Enara was founded by people from Stanford, UCSF, Kaiser, ClassPass & Evernote. Our mission is to develop the first ever platform to scale obesity treatment. Our platform allows for the latest breakthroughs in nutrition, exercise, and obesity science to be optimized and delivered in a series of personalized and programmable experiences. Our solutions are disseminated through unified products and services we deploy for the healthcare ecosystem; with a current focus on small to medium sized medical groups and clinics. Our platform has served over 2000 members and delivers world leading 16%+ weight loss sustained over 3 years. We deliver life changing care to members and we are redesigning the clinic-patient . We are backed by Offline.VC, Charge.VC, VSC, Continuum Ventures, as well as many prominent angels in Silicon Valley.

Team Values

1. Empathy (First) - Every patient’s journey is unique, and we approach each with compassion and understanding, always treating patients with dignity.

2. Empowerment (Through Partnership) - Patients are partners in their health journey. We strive to educate, motivate, and support them at every step.

3. Respect for Diversity - We embrace and honor the unique backgrounds, cultures, and identities of every individual, fostering an environment of inclusion and understanding.

4. Innovation (for Change) - We’re committed to challenging the status quo in healthcare, advancing technology and protocols to create sustainable health outcomes.

5. Service - Heart of Service - With humility and purpose, we dedicate ourselves to serving others, putting compassion and commitment at the heart of everything we do.

Position Overview:
Position Overview

The Billing and Collections Specialist has the important role of managing the full lifecycle of patient accounts for Enara Health's obesity and weight loss program. You will be responsible for ensuring insurance verification, accurate billing, proactive denial management, and payment posting. The ideal candidate will demonstrate excellent communication skills, a deep understanding of healthcare billing practices, and a patient-centered approach.

Key Responsibilities:
Claims & Billing Management

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Manage billing within the practice management system, focusing on working draft invoices and resolving rejections.

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Perform final reviews for duplicate claims and manage the accurate export of billing data.

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Handle Remote Patient Monitoring (RPM) submissions to ensure timely reimbursement.

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Review billing data for completeness and accuracy and ensure all provider notes are signed.

Eligibility & Membership Management

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Call insurance companies to verify eligibility and benefits for new leads, utilizing portals such as OneSource and Availity.

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Activate new accounts in the patient account management system for membership switches.

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Review and collect patient balances in the practice management system.

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Identify cases requiring authorization, compile medical records, and submit requests via portal or fax.

Collections & Payment Posting

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Process payments and refunds and inform patients of overdue balances.

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Focus on account escalations, working large balances, and clearing payer blockers to ensure consistent cash flow.

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Review and complete auto-posted payments in the practice management system, ensuring SFTP remit files and EOBs are properly reconciled daily.

Qualifications:
Education:

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High school diploma or GED required; Associate or Bachelor’s degree in Healthcare Administration, Finance, or a related field preferred.

Experience:

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Proven experience in Revenue Cycle Management (RCM), patient collections, or medical billing/coding, preferably supporting a specialized healthcare program.

Skills:

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Skilled in using an Electronic Medical Record (EMR), practice management system, payer portals, and a comprehensive understanding of insurance verification and eligibility.

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Strong ability to perform root-cause analysis on denials and resolve complex billing discrepancies.

Attributes:

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Excellent professional communication skills for frequent interaction with insurance companies, patients, and internal provider teams.

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High level of professionalism, patience, and empathy when working with patients on sensitive financial issues.

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Ability to support occasional weekend coding tasks or approved overtime to meet critical submission deadlines.