About this role.
BetterHelp is seeking a Billing & Follow-Up Specialist to support a newly formed healthcare revenue-cycle team. The role focuses on insurance claim follow-up, denial research and resolution, payer outreach, payment variance investigation, and workflow documentation. Candidates need at least four years of provider-side healthcare billing and follow-up experience, including familiarity with claims submission, denials, cash posting, and reconciliation. This is a remote full-time position supporting PST operations, with periodic travel to San Jose, California. The role combines detailed accounts-receivable work with cross-functional coordination to improve insurance reimbursement outcomes.
Role DNA
A quick view of the complexity, pace, ownership and collaboration implied by the job description.
Job Complexity
3/5Pace & Pressure
4/5Autonomy Level
4/5Communication Load
4/5Salary analysis
Estimated compensation compared with the broader US market for similar roles.
Core skills
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Sample interview questions
I prioritize based on timely-filing risk, claim age, dollar value, denial category, payer turnaround expectations, and the likelihood that a specific action will release payment quickly. I document the rationale and update priorities as new payer information or operational risks emerge.
I first verify the denial code and review the submitted claim, patient eligibility, authorization, coding, documentation, and payer policy. I identify the root cause, make or request the appropriate correction, submit an appeal or corrected claim when applicable, and record detailed notes and next steps in the workflow system.
I record the payer representative’s name or identifier, contact date, reference number, claim status, denial or processing reason, required actions, submission deadlines, and expected payment or response date. Clear notes allow another team member to continue the work without repeating research.
I would compare the remittance advice and paid amount with the contracted or expected allowable, billed charges, patient responsibility, and claim details. I would determine whether the variance resulted from coding, authorization, benefit coverage, payer adjudication, or posting error, then pursue correction, appeal, or adjustment according to policy.
I track recurring denial reasons, processing delays, underpayments, and documentation gaps by payer and service type. I summarize the volume, financial impact, root-cause hypothesis, and recommended corrective actions so leadership and partner teams can address systemic issues.
Who are we and why should you join us?
BetterHelp is on a mission to remove the traditional barriers to therapy and make mental health care more accessible to everyone. Founded in 2013, we are now the world’s largest online therapy service, providing affordable and convenient therapy across the globe. Our network of over 30,000 licensed therapists has helped millions of people take ownership of their mental health and change their lives forever. And we’re not stopping there – as the unmet need for mental health services continues to grow, BetterHelp is committed to being part of the solution.
As a Billing and Follow-up Specialist, you’ll be an important staff member in a newly formed department to bill and collect from insurance companies. You will work in a team to ensure we follow best practices for billing and follow-up tasks to maximize insurance reimbursement.
What are we looking for?
We are looking for this candidate to possess experience in the healthcare sector, specifically within a back end revenue cycle function at a provider. They should have a solid understanding of the claim submission and follow-up process, with general exposure to denials and cash posting tasks. Strong communication and collaboration skills will also be important for the newly formed team to ensure a high level of success.
What will you do?
- Review and prioritize follow-up activities requiring claim edits or general payer follow-up
- Research claim denial issues and resolve them in a timely manner to release claims to payers
- Contact insurance companies to understand delays in processing claims or sending payments and identify next steps to resolve them
- Investigate payment variance situations to understand root cause and next steps to resolve them
- Capture follow-up activities with clear, descriptive notes within the workflow application
- Support transition of claims to other staff in department with denial and cash posting tasks, as needed
- Prioritize and drive issue resolution with any partnering department, like Credentialing or Customer Success
- Identify trends in payer behavior and surface them for leadership review
What will you NOT do?
- You will NOT worry about “runway”, “cash left”, or “how much time we have until the next round”. We have the startup DNA but we’re fully backed and funded, all the way to success.
- You will NOT be confined to your “job”. You will get involved in product, marketing, business strategy, and almost everything we do.
- You will NOT be bogged down by office politics, ego, or bad attitude. Only positive, pleasure-to-work-with people are allowed here!
- You will NOT get yourself burned out. We work hard but we believe in maintaining a sustainable work/life balance. Really.
Can I work remotely?
Yes. We operate on PST and candidates in any time zone are welcome to apply. We ask employees to travel to our San Jose, CA office up to three times per year plus one company-wide offsite to collaborate in person and strengthen working relationships. Travel expenses are covered and reasonable accommodations are made for those under unique circumstances who cannot travel.
Requirements
- Minimum of 4 years of experience in the healthcare space, preferably in an existing role doing billing and follow-up functions with insurance companies on behalf of providers
- Understanding of the claim submission process and common pain points that delay payer acceptance and processing of bills
- Understanding of the cash posting and reconciliation process and common pain points that delay payment processing
- Exposure to clinicians that provide mental health and/or telehealth services
- Comfortable with ambiguity and wants to assist leaders in developing strong operational processes for a new department
- Desires an environment that fosters growth through open feedback and high autonomy
- Believes in our company’s mission to provide professional, affordable, and personalized therapy in a convenient online format
Benefits
- Remote work with regular in-person bonding experiences sponsored by the company
- Competitive compensation
- Holistic perks program (including free therapy, employee wellness, and more)
- Excellent health, dental, and vision coverage
- 401k benefits with employer matching contribution
- The chance to build something that changes lives – and that people love
- Any piece of hardware or software that will make you happy and productive
- An awesome community of co-workers
The salary range for this position is $ $33.00/hr –$38.46/hr. In addition to the base salary, this position is eligible for a performance bonus and the extensive benefits listed here (subject to eligibility requirements): Teladoc Health Benefits 2026. Total compensation is based on several factors – including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable to all full-time positions.
At BetterHelp we thrive on difference and individuality, and as part of the Teladoc Health family, we are proud to be an Equal Opportunity Employer. We never have and never will discriminate against any job candidate or employee due to age, race, ethnicity, religion, sex, color, national origin, gender, gender identity, sexual orientation, medical condition, marital status, parental status, disability, or Veteran status.
Notice to Candidates:
BetterHelp has been made aware of fraudulent job postings and unaffiliated third parties posing as our recruiting team – please know that we have no affiliation or connection to these situations. We only post open roles on our career page (betterhelp.com/careers) or reputable job boards like our official LinkedIn or Indeed pages, and all official BetterHelp recruitment emails will come from the domain @betterhelp.com. Our commitment is to ensure a safe and transparent hiring experience for all candidates. We will never ask you for money, gift cards, or any form of payment during our hiring process, and we will never send money or checks to candidates. If you experience this, it is a scam.
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