At Legion Health, we believe everyone deserves fast, affordable, and world-class health care, and we’re developing the AI infrastructure to deliver it ourselves at world scale.
Legion is building autonomous medical care (the AI doctor), starting with psychiatry. Our AI-native care-delivery platform currently automates 95% of the administrative work required for us to deliver direct patient care. We also recently became the first company ever to receive regulatory authorization to let AI prescribe psychiatric medications, allowing us to not only collapse health care’s admin costs but also its clinical labor costs—shifting this industry’s economics from humans to tokens.
Our technical moat is hard to copy—we combine rich data, production AI, doctors in the loop, and end-to-end care operations to deliver measurably better care to a clinically complex patient population. This has helped us produce tens of thousands of total visits in just 2 years, all while holding ops costs flat and achieving industry-leading patient NPS and retention. While the last generation of healthcare startups made the existing system incrementally more efficient, Legion is rebuilding full-stack care delivery from first principles. 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.
Legion Health is backed by Y Combinator, leading venture capital firms, and founders from Function Health, Modern Health, Everly Health, Trusted Health, Clipboard Health, PatientPing, Sesame Care, Faire, EasyPost, and fuboTV.
Join us as we build the future of health care: faster, higher-quality, and more affordable, powered by doctors and AI working together.
📍 Role LogisticsJob 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.
✅ Responsibilities and DeliverablesOversee 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: $5-15
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:
Resume + Application Screen
Founder Conversation
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.
Skills Required
- 1+ years of insurance claims management experience in behavioral health
- Experience making payer calls and investigating claim denials
- Ability to process 30+ claims per day and track follow-ups/escalations
- Familiarity with practice management software such as Healthie and Candid Health
What We Do
Legion Health is a pioneering high-quality telepsychiatry startup dedicated to transforming patient care through advanced technology. We leverage cutting-edge language models and robust data analytics to enhance our patient-provider interactions, improve access to mental health services covered by insurance, and streamline our clinical operations. Our mission is to integrate innovative AI solutions into every facet of world-class psychiatric care, ensuring providers and patients benefit from the most effective and efficient treatment strategies.
