Insurance Operations Coordinator

This a Full Remote job, the offer is available from: California (USA) Mochi Health’s mission is to be the discovery layer of healthcare. We are building a platform that makes it easier for patients to find the right providers, access the right medications, and take control of their health with transparency and trust. Over the past few years, we have experienced rapid growth by combining operational excellence, clinical expertise, and innovative technology to deliver care that is more human, intuitive, and effective. From pharmacy pricing transparency and personalized medication management, to long-term medical record access and community-based chronic illness support, Mochi is creating a new model of care that empowers patients, providers, and pharmacies alike. We believe the future of healthcare is personal, and we are building the technology to power it. At Mochi Health, you will join a team that values inclusivity, collaboration, and bold thinking, and you will have the opportunity to do the most meaningful work of your career. About Mochi Health Mochi Health’s mission is to be the discovery layer of healthcare. We are building a platform that makes it easier for patients to find the right providers, access the right medications, and take control of their health with transparency and trust. Over the past few years, we have experienced rapid growth by combining operational excellence, clinical expertise, and innovative technology to deliver care that is more human, intuitive, and effective. From pharmacy pricing transparency and personalized medication management, to long-term medical record access and community-based chronic illness support, Mochi is creating a new model of care that empowers patients, providers, and pharmacies alike. We believe the future of healthcare is personal, and we are building the technology to power it. At Mochi Health, you will join a team that values inclusivity, collaboration, and bold thinking, and you will have the opportunity to do the most meaningful work of your career. $75,000 - $95,000 Full-time / Onsite (5 days/week) About the Role We're seeking an organized, reliable Insurance Operations Coordinator to handle the administrative backbone of our insurance operations. This role focuses on execution and maintenance, ensuring payer enrollments stay current, communications are handled promptly, documentation is organized, and reimbursement of codes remains clean. You'll work closely with our insurance consultant to learn payer relations and serve as the internal point of contact for operational insurance matters. What You’ll Do • Manage EFT and ERA enrollment and re-enrollment processes with payers; track status, follow up on delays, and ensure successful completion • Monitor and respond to payer communications, provider portal messages, and credentialing requests in a timely manner • Serve as the primary liaison for routine payer interactions, identifying and escalating strategic issues as needed • Maintain organized records of payer contracts, enrollment statuses, and compliance documentation • Conduct annual review of payer compliance documents; identify billing rule changes, coverage updates, and documentation requirements • Translate compliance document findings into actionable summaries for the billing and clinical teams • Audit billing codes and claims data for accuracy; flag discrepancies and ensure clean claim submission • Track denial trends and compile reports for operational review • Support credentialing maintenance and provider enrollment updates across states Required Qualifications • 3-5 years experience in healthcare administration, medical billing, or insurance operations • Hands-on experience with payer portals, EFT/ERA enrollment, and credentialing workflows • Strong understanding of medical billing processes, CPT/ICD-10 coding, and claims submission • Highly organized with excellent attention to detail and follow-through • Comfortable managing billing processes at scale Nice To Have • Experience with clearinghouses (e.g., Availity), RCM platforms (e.g., Candid Health), or EDI transactions (270/271) • Familiarity with telehealth billing and multi-state credentialing • Background in a startup or high-growth healthcare environment • Experience reading and interpreting payer compliance and policy documents Life at Mochi At Mochi, we believe your best work happens when you feel your best—so we’ve designed an environment that fuels your creativity, supports your growth, and makes every day exciting. Daily Meals and Espresso Bar - Breakfast, lunch, and dinner every weekday. Our on-site barista keeps the espresso and matcha flowing all day Pre-Tax Commuter Perks - Save on transit and parking through pre-tax commuter benefits Top-of-Market Compensation - We offer competitive salaries along with generous equity packages so you can share in the success you help create Profitable and Rapid Growth - We’re scaling fast, with financial discipline and long-term vision. No VC constraints, just sustainable momentum and smart decisions High-Impact Work - Help shape the future of digital healthcare. Your work here directly improves lives and scales nationwide ‍ World-Class Team - Collaborate with teammates from Tesla, SpaceX, Citadel, Harvard, IIT, and more. We value excellence, humility, and empathy in equal measure ✨ Comprehensive Benefits - 401(k) with match, generous time off, life insurance, and high-quality medical, dental, and vision plans Mochi Health Membership – We cover your monthly subscription fee so you can experience the same care as our patients (medications not included) Time to Recharge – Enjoy unlimited PTO, generous company holidays, and true flexibility. We trust you to take the time you need to rest, reset, and thrive Wellness First – From weekly mindfulness sessions to group workouts and fitness perks, your physical and mental health are top priority Team Socials and Community - We make time to connect through regular socials, happy hours, and spontaneous events. Our stocked kitchen doesn’t hurt either Downtown SF HQ - Our San Francisco office is just steps from BART, Muni, and great food. It’s designed for deep work and casual collaboration -- The base salary for this full-time position ranges from $75,000 to $95,000, in addition to equity and benefits. The salary range listed in each job posting represents the minimum and maximum targets for new hire salaries across all locations. Actual compensation within this range is determined by various factors, such as job-related skills, experience, relevant education or training, and location. #LI-Onsite #LI-AK1 Workplace Policy Mochi Health is an in-person company based in San Francisco, CA. Our team works together in person five days a week to foster collaboration, innovation, and strong connections. We believe that face-to-face interaction builds a culture of excellence and allows us to deliver the best outcomes for the patients and providers we serve. For office-based roles, the standard schedule is Monday through Friday, 9:00 a.m. to 7:00 p.m. Actual hours may vary depending on business needs and role responsibilities. All employees receive meal and rest breaks in accordance with applicable state and local laws. For designated remote roles, this in-person policy does not apply. Equal Opportunity Mochi Health is an Equal Opportunity Employer. We make all employment decisions based solely on merit. We provide equal employment opportunities to all applicants and employees without discrimination on the basis of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, disability status, or any other applicable legally protected characteristic. We prohibit any form of discrimination or harassment. This policy applies to all terms and conditions of employment, including hiring. Candidate Privacy Notice Please review Mochi Health's Candidate Privacy Notice here. Accommodations Mochi Health complies with the Americans with Disabilities Act (ADA), as amended by the ADA Amendments Act, and all applicable state or local laws. We will reasonably accommodate qualified individuals with a disability during the application process and throughout employment as required by law. If you need any assistance or accommodations due to a disability, please contact us at hr@joinmochi.com. This offer from "Mochi Health" has been enriched by Jobgether.com and got a 73% flex score. Apply tot his job Apply To this Job