We believe that mental health is just as important as physical health. We recognize that mental health issues can be complex and multifaceted, and we are dedicated to treating the whole person, not just the symptoms.
We aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being.
We believe that by providing quality care that is both evidence-based and compassionate, we can empower individuals to take charge of their mental health and achieve their full potential. We are passionate about making a positive impact on the lives of those struggling with mental health issues and we strive to be a force for positive change in the field of mental healthcare.
Rula is a remote-first company. We currently hire in most U.S. states, with the exception of Hawaii.
About the Role
We are seeking a Billing Support Specialist to join Rula’s Customer Experience Operations team and help resolve complex billing issues that matter deeply to our patients. In this role, you’ll investigate billing concerns, working closely with patients, insurance providers, internal teams, and external partners to help drive timely, accurate resolutions. You’ll play an important part in improving the patient experience while also strengthening the processes, resources, and guidance that support billing work across the organization. This role is a great fit for someone who enjoys problem-solving, collaboration, and making a direct impact on access to care.
Required Qualifications
2+ years of experience in medical billing, healthcare billing support, or revenue cycle operations, including experience with insurance claims, billing follow-up, benefit terminology, and patient billing questions
Hands-on expertise working in a queue-based or ticket-based omnichannel support role (phone, email, chat) where the majority of time is spent directly handling case volume
Experience independently receiving, investigating, and resolving complex or escalated support issues, using sound judgment, strong follow-through, and clear documentation
Experience communicating with cross-functional partners and external stakeholders, including patients, vendors, and/or insurance companies to resolve complex issues and workflows
Strong organization and attention to detail in a fast-paced environment, with the ability to manage multiple priorities while maintaining high quality
Preferred Qualifications
While having the preferred qualifications enhances your candidacy, having all of them is not mandatory. We encourage all interested applicants to apply, even those who may not meet every preferred requirement.
1+ years of experience in a high-growth and/or start-up environment, preferably in healthcare, patient advocacy, or a related field
Experience supporting behavioral health, mental health, or other sensitive healthcare populations
Proficiency with tools such as Zendesk, Salesforce, Google Suite, EHR, billing systems, and/or similar platforms
Experience working with Medicare, Medicaid, Medigap, EAP, or other non-commercial benefit structures
Experience partnering closely with BPO teams or outsourced support partners
We're serious about your well-being! As part of our team, full-time employees receive:
100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments (must be based in United States, currently not hiring in Hawaii)
Attractive pay and benefits: Full transparency of pay ranges regardless of where you live in the United States
Comprehensive health benefits: Medical, dental, vision, life, disability, and FSA/HSA
401(k) plan access: Start saving for your future
Generous time-off policies: Including 2 company-wide shutdown weeks each year for self-care (for most employees)
Paid parental leave: Available for all parents, including birthing, non-birthing, adopting, and fostering
Employee Assistance Program (EAP): Supporting your mental and physical health
Quarterly department stipend: Fun team-building activities or in-person gatherings
Community and employee resource groups: Participate in groups that celebrate employee identity and lived experiences, fostering a sense of community and belonging for all
Home office stipend: New hire home office stipend & $50 monthly stipend to help cover internet or cell phone expenses
Wellness at Rula program: Year-round wellness initiatives and a $50/month wellness stipend
Our team
We believe that diversity, equity, and inclusion are fundamental to our mission of making mental healthcare work for everyone. We are dedicated to having a culture of inclusion that will support our employees in feeling safe, seen, heard, and valued.
Skills Required
- 2+ years experience in medical billing, healthcare billing support, or revenue cycle operations (insurance claims, billing follow-up, benefit terminology, patient billing questions)
- Hands-on experience in a queue-based or ticket-based omnichannel support role (phone, email, chat) handling case volume
- Experience independently receiving, investigating, and resolving complex or escalated support issues with sound judgment and clear documentation
- Experience communicating with cross-functional partners and external stakeholders (patients, vendors, insurance companies) to resolve workflows
- Strong organization, attention to detail, and ability to manage multiple priorities in a fast-paced environment
- 1+ years experience in a high-growth and/or start-up environment (preferably healthcare or patient advocacy)
- Experience supporting behavioral health, mental health, or other sensitive healthcare populations
- Proficiency with tools such as Zendesk, Salesforce, Google Suite, EHR, billing systems, or similar platforms
- Experience working with Medicare, Medicaid, Medigap, EAP, or other non-commercial benefit structures
- Experience partnering closely with BPO teams or outsourced support partners
Rula Compensation & Benefits Highlights
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Healthcare Strength — Employer-sponsored medical, dental, and vision coverage is paired with mental health benefits, FSAs, life and disability insurance, and EAP access. Abortion travel support, wellness programs, and wellness stipends further reinforce health-related support.
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Leave & Time Off Breadth — Unlimited PTO, paid holidays, sick time, bereavement leave, and two company-wide shutdown weeks each year are highlighted. These practices emphasize dedicated recovery time and self-care.
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Parental & Family Support — Paid parental leave is available for birthing, non-birthing, adopting, and fostering parents, with family medical leave provided in line with FMLA. This breadth signals support for a range of family needs.
Rula Insights
What We Do
We believe that when access to quality mental healthcare improves, patients, providers, and payers all benefit. And that’s why we’re on a mission to make mental healthcare work for everyone. We remove barriers and strengthen connection points between patients, providers, and payers to improve mental health outcomes. With Rula, it’s easy for patients to find a high-quality therapist or psychiatric practitioner who meets their unique needs, accepts insurance, and is taking new patients. For providers, Rula offers the flexibility of private practice, while also filling caseloads and offering the necessary behind-the-scenes support. Rula handles the marketing, credentialing, billing, and admin tasks so providers can focus on what they do best: providing care to those in need. Rula is a remote-first company with teams who specialize in the areas of Clinical, Partnerships, Operations, Marketing, Engineering, Product, and more. We’re committed to reimagining how mental health is treated.
Why Work With Us
As a remote company, we're intentional about the culture we're building. We write things down, we communicate clearly, we follow-up, and we follow-through. We have high expectations for our team, and empower individuals with a high degree of trust and autonomy. In turn, we expect that individuals operate with a sense of ownership in everything.
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Employees work remotely.
We're a 100% remote company.











