Insurance Operations Associate

Berry Street is on a mission to transform how Americans eat through nutrition therapy. Berry Street’s platform connects individuals needing evidence-based nutrition care with an expansive network of Registered Dietitians and AI-powered tools. From weight management, diabetes, and heart health to kidney disease, maternal health, and 25+ other conditions, Berry Street’s clinical team delivers personalized nutrition interventions tailored to each patient's unique physiological and psychological needs, improving outcomes and reducing total cost of care. Berry Street works with some of the largest health plans, as well as leading health systems and innovative care management companies to serve diverse populations across all 50 states.

Since launching in January 2023, Berry Street has grown to over 1,500 providers and served tens of thousands of patients nationwide. We’re a Series B company backed by leadin investors including Northzone, Sofina, and FJ Labs, and notable angels including the founders of Revolut, Spring Health and Grow Therapy.

About the Role
We're looking for a scrappy, curious, and AI-forward Insurance Operations Associate to join our Revenue Cycle Management team. This isn't a "process tickets and go home" job—we want someone who looks at a broken workflow and immediately starts sketching a fix, who's already experimenting with AI tools on their own time, and who gets genuinely excited about the idea of modernizing a healthcare system that's long overdue for disruption.

You'll be on the front lines of our insurance operations—resolving claims issues, identifying patterns, and working closely with our RCM lead to build smarter, faster processes. You'll have real ownership from day one.

Responsibilities

• Work claims denials, rejections, and billing exceptions end-to-end—researching root causes and driving resolution, not just routing tickets
• Identify recurring patterns and proactively surface process improvements or automation opportunities
• Leverage AI tools to eliminate repetitive manual tasks
• Help build and refine internal SOPs and payer-specific playbooks
• Monitor claims pipeline health and flag anomalies before they become revenue leakage
• Coordinate with providers on missing documentation, credentialing gaps, or coding questions
• Communicate with vendors to continuously improve our tools, and help to evolve their setup on an ongoing basis
• Escalate complex payer issues and help execute special initiatives to improve our overall revenue operation

Requirements

• Recent college graduate or 1–2 years of experience in healthcare billing, RCM, insurance operations, or a fast-paced ops role
• Genuine curiosity about AI—you've used Claude or similar tools to actually solve problems, not just play around
• Comfort with ambiguity and a bias toward action; you don't wait to be told exactly how to do something
• Strong attention to detail, especially with numbers, claim data, and payer rules
• Excellent written communication—you can write a clear, firm appeal letter and a concise Slack message with equal ease
• Tech-forward: you pick up new tools fast and actively look for ways to automate the annoying stuff
• Able to work East Coast hours (9am–6pm ET)
• Bonus: experience with medical billing software, clearinghouses (e.g. Office Ally, Availity), or CPT/ICD-10 coding

Benefits

• Opportunity to work at a mission-driven health tech startup.
• Exposure to modern AI tools and platform operations.
• Supportive, collaborative team culture.
• Comprehensive health insurance plans, including dental and vision
• Citibike membership 🚲
• Unlimited dietitian care 🍓
• Continuous learning opportunities
• Compensation: Hourly ($16-$20/hour)
• The opportunity to help build a rapidly scaling start-up organization by taking strong ownership of your work