Note: The job is a remote job and is open to candidates in USA. Spring Health is on a mission to revolutionize mental healthcare by removing barriers to access. The Payer Operations Specialist will manage and support payer partners, ensuring smooth operational performance and driving improvements across revenue operations.
Responsibilities
- Collect, analyze, and interpret clinical, operational, and financial data to assess payer performance and trends
- Monitor KPIs such as DSO, denial volume, and claim routing accuracy, flagging anomalies or discrepancies to the broader team
- Assist with the creation and maintenance of automated and self-refreshing KPI dashboards
- Support audit preparation and reconciliation efforts by pulling reports and validating data sets
- Collaborate with IC3+ team members on new integrations, payer escalations, or special projects through research, timeline tracking, and administrative setup
- Coordinate project milestones, risks, and deliverables, surfacing issues when timelines or inputs are at risk
- Facilitate information flow and handoffs across internal teams including Billing, RCM, Product, and Legal
- Maintain SOPs, payer playbooks, internal how-to guides, and reference materials
- Standardize and centralize payer account information (e.g., routing rules, modifier requirements, prior auth logic)
- Document meeting notes, decisions, and follow-ups to ensure accountability and next steps
- Execute recurring workflows that support clean claims, reduced DSO, and payer performance health
- Translate front-line payer knowledge into scalable process improvements
Skills
- 1–3 years of experience in healthcare operations, revenue cycle, payer integrations, or data analysis
- Strong analytical skills with working knowledge of Excel/Google Sheets
- Excellent attention to detail, organizational skills, and follow-through
- A systems thinker who's eager to learn, contribute, and grow within a fast-paced environment
- Strong written communication skills for internal documentation and reporting
- Experience using BI tools such as Looker or Tableau
- Familiarity with payer setup workflows or integration processes
- Exposure to healthcare claims systems or revenue operations tools
Benefits
- Health, Dental, Vision benefits start on your first day at Spring.
- Employer sponsored 401(k) match of up to 2% for retirement planning
- A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents.
- We offer competitive paid time off policies including vacation, sick leave and company holidays.
- At 6 months tenure with Spring, we offer parental leave of 18 weeks for birthing parents and 16 weeks for non-birthing parents.
- Access to Noom, a weight management program—based in psychology, that’s tailored to your unique needs and goals.
- Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses.
- Access to Wellhub, which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription
- Access to BrightHorizons, which provides sponsored child care, back-up care, and elder care
- Up to $1,000 Professional Development Reimbursement a year.
- $200 per year donation matching to support your favorite causes.
Company Overview
Spring Health provides mental health solution for employers and health plans. It was founded in 2016, and is headquartered in New York, New York, USA, with a workforce of 1001-5000 employees. Its website is https://www.springhealth.com.
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