Insurance & Billing Strategy Consultant jobs in United States
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Mochi Health · 12 hours ago

Insurance & Billing Strategy Consultant

positionSan Francisco
timeFull-time
remoteOnsite
senioritySenior Level
date5+ years exp

Mochi Health is dedicated to transforming healthcare by providing a platform that enhances patient access to providers and medications. The role involves advising on insurance offerings and optimizing revenue cycle operations, focusing on payer relations, contract negotiations, and billing compliance.

Health Care

Responsibilities

Advise on payer contracting strategy and negotiations with commercial insurers
Review and optimize current payer relations and revenue cycle workflows including eligibility verification and payment posting
Provide guidance on billing compliance and coding optimization for telehealth services
Support development of claims management processes and denial reduction strategies
Advise on reimbursement strategies across multiple payer types and state regulations
Guide insurance product development and go-to-market strategy for new coverage offerings
Provide strategic recommendations on payer mix optimization and network expansion

Qualification

Healthcare payer relationsRevenue cycle managementMedical billingCodingPayer contract negotiationsTelehealth billing regulationsClaims processingDenial managementCMS regulationsAnalytical skillsCollaborationCommunication

Required

5+ years experience in healthcare payer relations, insurance operations, and revenue cycle management, ideally specific to telehealth
Deep expertise in medical billing, coding, and reimbursement for commercial payers
Proven track record negotiating payer contracts and managing payer relationships
Strong understanding of telehealth billing regulations and compliance requirements
Experience with claims processing, denial management, and appeals
Experience with CMS regulations, Medicare billing requirements, and federal reimbursement programs

Preferred

Experience with revenue cycle management platforms such as Candid Health or similar billing automation tools
Familiarity with clearinghouse operations and payer connectivity platforms like Availity

Company

Mochi Health

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Mochi Health is a provider of FDA-approved prescription medications for weight loss and an obesity treatment program.
dateFounded in 2022
location
San Francisco, California, USA
people-size51-200 employees
web-link
http://joinmochi.com

Funding

Current Stage
Growth Stage
Total Funding
$0.5M
Key Investors
AngelList
2022-03-14Pre Seed· $0.5M

Recent News

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Company data provided by crunchbase