Insurance Billing Lead (backed by Y Combinator, $3.3M+ ARR, $7M+ raised, Remote)

At Legion Health, we believe everyone deserves fast, affordable, and effective mental health care, and we’re on a mission to deliver that at scale.

Legion Health is a full-stack AI-native psychiatry network—our clinicians provide care directly to patients, and AI agents automate all parts of our care operations (e.g., scheduling, risk analysis, billing, etc.). Our vision? A 10X better patient experience that’s higher quality, less expensive, and more scalable than ever before. And a 10X better clinician experience that frees our providers to focus on what matters most: caring for patients.

Join us as we build the future of mental health—and the highest‑quality, most efficient, and widest-reaching vehicle in healthcare. Powered by both humans and AI.

• Job Type: Contract

• Role Type: Operations

• Ideal Experience Level: 2+ years of experience

• Location: Fully Remote

• US Visa Sponsorship: Not Relevant

As Insurance Ops Agent, you will play a critical role in delivering a delightful, accurate, and timely billing experience for patients. You’ll work with the Head of Revenue Operations and other members of the Revenue Cycle Management team to manage insurance claim denials, rejections, and holds to ensure that claims are properly submitted and reimbursed.

• Oversee the end-to-end claims lifecycle from claim submission to insurance reimbursement by resolving claim holds and re-submitting / appealing claim denials

• Resolve behavioral health claim denials for inactive coverage, coordination of benefits, prior authorization, documentation, non-covered services, credentialing, and coding

• Investigate insurance claim denials and, when required, make Payer calls or message patients to resolve denials

• Quickly and accurately resolve claims issues, processing 30+ claims per day

• Have strong organization and tracking of follow-ups and escalations

• Leverage strong systems thinking and drive issue resolution end-to-end

• 1+ years of Insurance claims management experience in Behavioral Health is a requirement

• Experience making Payer calls and investigating claim denials

• Familiarity with practice management softwares like Healthie & Candid Health is a plus

• Hourly Compensation: $8-15

• Work Hours: Flexible

• Work Setup: Fully Remote

• Impact: Work on something that truly matters to millions of patients and families.

• Overview of our hiring process:

  1. Resume + Application Screen

  2. Founder Conversation

  3. Technical Interview

• Estimated time-to-hire: 2 weeks

• Start date: ASAP

• Hiring manager: Edwin Bang

Legion Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees, contractors, and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other protected characteristic under applicable law. We encourage applicants from all backgrounds to apply.