Job details
Job type full-time
Full job description
About the pill club the pill club is making women’s healthcare more accessible and affordable by creating a simple, personal and convenient patient experienceOur mission is to be the most trusted health care partner for women, empowering our members through greater access, choice, and education about their options —all while delivering a positive and personal experienceSimply put: we’re putting the ‘care’ back into health care.
Starting with birth control, we’ve built in-house medical and pharmacy capabilities all integrated with insurance, to create a superior customer experienceIn doing so, we have defined digital contraceptive care for women and are the nation’s leading integrated healthcare platform, combining telemedicine and direct-to-consumer pharmacy with the broadest insurance coverage in the spaceOur ambition is to bring this level of superior customer experience to all areas of women’s digital primary care.
We are a growth stage company with over $100m in venture capital funding from leading investors, such as vmg partners, gv (google ventures), shasta ventures, base 10 ventures, acme labs and moreToday, we serve hundreds of thousands of members nationwide, and prescribe in 48 states, plus washington, d.c.
About this role
Our benefit verification team is a panel of experts on the entire insurance verification processTheir primary role is to ensure our patients’ pharmacy and medical services are processed by insurance payers in a timely mannerIn this role you will perform eligibility checks, detailed insurance verification, and act as a liaison between patients, third party payers, and internal stakeholdersWe are on a mission to simplify the process of providing our patients with access to healthcareIf you are interested in working at a rapidly growing healthcare startup and be a part of building a company that’s changing the way birth control is dispensed, please consider joining our team!
You will:
Collect, review, and process patients’ insurance information to complete benefits investigations with speed and accuracy (eligibility and coverage for both medical and pharmacy benefits)
Use a computer and phone on a regular basis to interact with patients, peers, pharmacists, medical staff, and other internal experts/resources engaged in servicing our patients
Leverage internal systems and/or contact insurance carriers via phone and website/portals to obtain verification of eligibility and coverage details
Input detailed and confidential medical information
Maintain proprietary databases and tools to support insurance verification
Assist in medical billing functions and collections (e.g., enroll payers for eligibility, claims, efts, and eras; payer website enrollment; supporting medical billing phone line and voicemails, etc.)
Report any insurance verification, roots processing, or billing trends to the broader team and consolidate issues and opportunity to report to leadership
Lead trainings on our insurance verification processes for the broader organization
Be able to effectively collaborate with peers and cross-functional teams to solve problems and enhance the insurance verification and billing processes
Follow prescribed processes and able and willing to identify new solutions that improve the benefits verification process within required sops/policies
Identify opportunities for improvement in our insurance processing automation or manual processes
Submit prior authorizations on behalf of the medical and pharmacy organizations
Be flexible to work overtime, evenings or weekends as needed
Perform other duties as assigned
You have:
Reliability – demonstrated ability to meet commitments including following policies, procedures, and working schedules as assigned.
Work standards – establishes a high bar for quality and volume of work; independently or
With minimal guidance sets criteria that consistently meets or exceeds what is expected and/or asked.
Patient centricity – has a natural desire to create and deliver an exceptional experience to
Those being served (i.ePatient, customer, peer, manager)
Great communication skills – effectively engages internal and external stakeholders and represents our company via verbal and/or written communication; demonstrates a high comfort with speaking via text and phone
The ability to learn quickly and adapt to changing requirements based on business, legal and medical governance
High school diploma or equivalent required.
Minimum of 2 years experience in insurance verification and benefits
Familiarity with insurance and billing policies and procedures
Even better if you have:
Experience in patient access/ patient registration and/or billing experience in a clinical care setting
Experience working in a start-up or healthcare environment
College degree preferred
Proven ability to effectively communicate succinctly both verbally and in writing; to present
Information and respond to questions from patients.
Effective data entry; speed and accuracy critical.
Strong interpersonal and organizational abilities.
Basic computer skills including working knowledge with a word processing and
The pill club is committed to employee health and safetyCovid-19 vaccinations will be required for all employees who work, have desire to work, or have occasion to be in office, with the exception of those who have an approved exemption for medical or religious accommodation.
Perks
Medical, dental and vision insurance
401k plan and matching
Short term disability, long term disability, and life insurance
Pre-tax commuter, fsa, and hsa benefits
Unlimited time off
16 weeks of parental leave
$15k towards family planning and fertility support via carrot
Unlimited access to thousands of workouts via aaptiv
Unlimited access to meditation, sleep exercises and more via headspace
Pet insurance via petplan
Mortgage, student and personal loan refinancing, and personal finance management via sofi
Gym, travel and additional discounts via perkspot
If you fit most of these requirements and love the idea of working to improve women’s health, please apply with a resumeWe can’t wait to hear from you!
We are an equal employment/affirmative action employerWe do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected veteran status, or any other characteristic protected by federal, state, or local law.
