Billing Specialist

Unless otherwise noted, all positions are fully remote with work permitted from the following states: CA, CO, IL, MA, MD, NJ, NY, OR, and WA. We are living through a pivotal moment for reproductive and sexual health—and Hey Jane is uniquely positioned to help. From day one, we've been committed to providing safe, discreet medication abortion treatment—and have helped more than 100,000 people get the care they need. Today, we offer a range of reproductive and sexual health care services from the comfort and convenience of your phone.  Our in-house clinical care team, composed of board certified doctors, advanced practice clinicians, nurses, and patient care advocates, is just a text message away. We’re committed to helping our patients get safe, discreet, judgment-free virtual health care, from a team that truly cares. Role Overview As Hey Jane expands to partner with more payers, we are seeking a highly organized and detail-oriented Billing Specialist with specific expertise in Medicaid and Medi-Cal. You are someone who thrives in dynamic environments and is motivated by the opportunity to help more patients access care with fewer out-of-pocket costs. In this role, you will manage the smooth and efficient handling of billing operations, ensuring our workflows and claims remain in strict accordance with coding standards. You will act as a crucial bridge between our Clinical and Clinical Operations teams and our third-party billing partner. From accurately processing claims to resolving complex billing issues and maintaining compliance, you will ensure that the intricacies of insurance reimbursement never slow down our mission. The ideal candidate has a strong background in medical billing and coding and possesses the analytical skills to navigate the nuances of state-funded programs. You excel at spotting gaps, creating structure where it’s needed, and being persistent in communications to ensure our clinicians can focus on patients rather than administrative hurdles. Why this role matters This isn’t your average administrative role: the systems you maintain and improve directly determine how quickly and effectively patients can access safe, timely, and compassionate care. By mastering the complexities of Medicaid and Medi-Cal, you are personally expanding healthcare equity and ensuring that financial barriers don't stand in the way of essential services. In a moment where access to care is more important than ever, your work will have a tangible impact on the future of accessible healthcare across the U.S. Responsibilities

Ensure a smooth, efficient, and timely claim submission process with minimal denials, including identifying gaps in claims

Follow up on unpaid claims, denials, and appeals to ensure maximum reimbursement

Investigate and resolve billing discrepancies or coding issues 

Collaborate with internal teams, including clinicians, to provide charting requirements and necessary documentation for claims submission, training team members on billing processes, and creating workflows for billing operations

Provide support and guidance to patients regarding their insurance coverage, financial assistance, and billing inquiries

Manage abortion fund invoicing and reimbursements

Maintain accurate and organized billing records and documentation

Generate and analyze reports to monitor billing performance and identify areas for improvement

Support new payor partnerships, working collaboratively with internal and external stakeholders to own billing and coding workflows as we grow

Maintain knowledge of current billing and coding regulations and updates

Stay up-to-date with changes in insurance policies, fee schedules, and reimbursement rates

Assist with other billing-related tasks as needed

Requirements

1+ years experience as a Billing Specialist in a healthcare setting (preferably in a telehealth setting)

Deep expertise in Medicaid and Medi-Cal billing guidelines, including familiarity with state-specific reimbursement rules and eligibility verification

Strong proficiency in ICD-10, CPT, and HCPCS coding, particularly as they relate to abortion services and sexual and reproductive health

Proven experience managing the full claims lifecycle, including submission, denial management, and appeals

Hands-on experience with Electronic Health Records (EHR) and Revenue Cycle Management (RCM) systems

Solid understanding of HIPAA regulations and a strict commitment to maintaining patient data privacy

Strong attention to detail and accuracy

Ability to effectively communicate with patients, insurance companies, and internal stakeholders

Proficient in using Excel or Google Sheets

Ability to work independently in a fast-paced environment

Strong organizational and time management skills

Passion for advancing equitable healthcare, with a deep-rooted ability to empathize with Hey Jane patients