About the Role

This role is responsible for overseeing and managing the verification of benefits process ensuring efficient, accurate policy reviews and effectively handling referral complexities. Obtaining accurate benefits is the first step in financial process meaning accuracy is key as it determines patient responsibility and our ability to get reimbursed for services. 

Our team is comprised of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way.

Responsibilities

• Mentor, guide and provide oversight assistance to the team
• Applying subject expertise in evaluating business operations and processes
• Identify trends and root causes related to inaccurate insurance billing, and report to the manager while resolving account errors
• Consulting across teams, providing mentorship, and contributing specialized knowledge
• Demonstrate various techniques and documentation to streamline the production process
• Respond to internal inquiries for coaching assistance via office communicator, and email
• Coach others on how to navigate through systems to find information needed for calls
• Take escalated phone calls that cannot be effectively resolved by team members
• Communicate with other departments, front end staff regarding billing issues and trends to work toward an account resolution and decrease insurance denial percentages
• Handle all insurance payer disputes that are filtered into the department
• Develops and enhances the process and payer-specific work job aids and standard operating procedures
• Investigate escalated insurance billing inquiries and inaccuracies and take appropriate action to resolve the account

Requirements

• A strong understanding of physiology, medical terms, and anatomy
• Knowledge of medical billing practices, office policies and procedures
• Knowledge of all confidentially requirements regarding patients and strict maintenance of proper confidentiality on all such information
• Proficiency in computer skills including typing speed and accuracy
• Mathematics skills 
• Excellent written and verbal communication skills 
• Organizational skills 
• Ability to maintain a high level of integrity and confidentiality of medical information
• Strict attention to details 
• Certified Professional Coder (CPC or CPC-A) is preferred
• 3-5 years related work experience in health care administrative, financial, insurance, customer services, claims, billing, call center, or management
• Able to work a hybrid schedule of 4 days per week in our Nashville office and located within 75 minutes' commuting distance of the office

Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.

Additional Information

Note: We are not currently considering applicants in CA, CO, NY, and WA for this position. #LI-HYBRID