Billing Specialist

Join Cartwheel to help tackle the student mental health crisis. 

Kids spend most of their days in the classroom. And teachers and staff, who play a vital role in their development, are often the first to notice when something is off. But with 1 in 5 young people struggling with mental health, schools are getting crushed by a downward spiral in student crises and staff burnout.

With large increases in federal funding for schools and the rise of telehealth, schools are reimagining what mental health support can look like. 

Cartwheel is an early-stage startup building technology-enabled mental health services that put schools at the center. We see our role as supporting on-campus counselors, psychologists, and school social workers who see kids every day. Instead of going around them, we collaborate with them. This means: 

• Earlier intervention
• Higher student and family engagement in care
• Better coordination among the trusted adults in a student’s life 

Kids shouldn't just aspire to get out of bed and drag themselves to class. They should be able to experience joy. They deserve to envision and build a life they’re excited to live. If you join Cartwheel, you’ll help make this vision a reality for millions of students across the country. We’re backed by top investors including Menlo Ventures, Reach Capital, General Catalyst, BoxGroup, and Able Partners, and we're looking for mission-driven teammates to join our team.

ABOUT THE ROLE

Since our founding last spring, we’ve grown to serve more than fifty school districts across six states, providing care to thousands of students and families.

As a Billing Specialist, you will be responsible for the smooth and efficient billing and processing of claims and invoices with our school district partners, health plan partners, and members. You will work closely with our clinical and operations teams to manage billing and invoicing procedures and maintain accurate financial records.  Your attention to detail, excellent organizational skills, and commitment to customer access will contribute to the financial stability and success of Cartwheel as we become the leading partner for schools nationwide in tackling the student mental health crisis.

WHO YOU ARE

• 2+ years of experience as a billing specialist, payment coordinator, accounts receivable specialist, or a similar role required.
• 1+ years of behavioral health billing experience required.
• 1+ years of experience working with Apero preferred.
• 1+ years of experience working with Healthie EMR preferred.
• Massachusetts CANS experience preferred.
• Excellent attention to detail and accuracy in numerical data.
• Strong organizational and time management skills to handle multiple tasks and deadlines effectively.
• Strong understanding of billing and invoicing processes.
• Familiarity with financial software and proficiency in using accounting systems.
• Excellent communication and interpersonal skills.
• Knowledge of relevant health care or financial regulations and compliance requirements.
• Prior experience in the healthcare or mental health industry is a plus.
• Highly independent, proactive, resilient, and empathetic.

The above is a summary of the role, not an exhaustive list. If you think that you have most of the above but not everything, please apply. We'd love to hear from you.

WHAT YOU’LL DO

CANS Administration:

• Track intake appointments for students that require a CANS submission.
• Submit CANS within 30 days of intake.
• Monitor signed CANS consent forms.
• Coordinate with internal stakeholders on completed submissions to support billing.
• Track active students and submit the required 180 days resubmissions.
• Follow up with clinicians for the CANS assessments and resubmissions.

Billing and Invoicing:

• Ensure invoices and claims are properly documented, approved, and sent on schedule.
• Generate accurate and timely invoices for clients and partners.
• Provide member/insurance revenue management support throughout the revenue cycle, to include but not limited to: Claims Management, Accounts Receivable, Payment Posting and Denials Management

Financial Recordkeeping:

• Maintain organized financial records, including invoices and bills.
• Collaborate on reconciling accounts and resolving discrepancies.

Denial Management:

• Timely follow up with health plan partners on outstanding claims
• Submission of corrected claims and appeals as applicable.

Collections:

• Generate member statements and work with members to collect and resolve past due balances.

Reporting and Analysis:

• Assist in generating regular reports on payment status and financial performance.
• Analyze data to identify trends and areas for improvement.

Compliance and Documentation:

• Ensure adherence to financial regulations and policies.
• Maintain accurate documentation of payment processes.

Customer Success:

• Provide empathetic and compassionate customer service to families who may be struggling to meet payment obligations.
• Resolve payment disputes or concerns professionally and courteously.
• Maintain open communication with providers, payers, and internal stakeholders to resolve insurance eligibility and benefits, as well as claims issues.

LOCATION: Remote with semi-annual in-person retreats in Boston.

WHY YOU’LL LOVE CARTWHEEL

Our hope is that Cartwheel will be your best career decision! In addition to tackling one of the biggest challenges of our time, at a company well-positioned to do so, you’ll have: 

• Team-based culture with mission-driven colleagues who will go to bat for you
• Total cash compensation between $50,000 and $60,000
• Excellent health insurance
• Meaningful equity ownership stake
• 3 weeks of Paid Time Off plus paid office closure between Christmas & New Years
• Remote work environment with regular in-person team retreats
• 401K with employer match
• $500 annual educational stipend
• Macbook

Cartwheel is proud to be an equal opportunity employer. We embrace diverse backgrounds and perspectives and an inclusive work environment. We're committed to equal employment opportunity regardless of race, color, religion, ancestry, national origin, gender, sexual orientation, disability status, or veteran status.