Verification of Benefits Specialist
Job Posting for Verification of Benefits Specialist at Charlie Health Strategy & Operations
Why Charlie Health?
Young people across the nation are grappling with a mental health crisis characterized by escalating rates of depression, anxiety, trauma, substance use disorders, and suicide. Individuals who seek support are met by geographical and financial barriers, driving increased urgency for a new approach to behavioral health treatment.
At Charlie Health, our mission is to connect the world to life-saving mental health treatment. Our treatment programs combine curated peer groups, individual therapy, and family therapy into personalized, evidence-based treatment plans to provide long-term healing from home. By prioritizing connections among young people with shared mental health experiences and goals, Charlie Health fosters sustainable healing and achieves industry-leading clinical outcomes, with over 90% of our clients seeing improvement in their most severe mental health symptoms.
Every member of the Charlie Health team is fueled by an unwavering passion for our mission. If you share this commitment, we invite you to join us in making a tangible impact on the mental health landscape.
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
Our Values
- Connection
- Care deeply
- We care personally about every single person in the Charlie Health ecosystem: our clients, providers, and team members alike.
- Inspire hope
- We inspire hope with every interaction, reminding our clients that we truly and unconditionally believe in them.
- Congruence
- Stay curious
- We ask "why" five times before we're satisfied with the answer. We don't stick to the status quo; we challenge our assumptions and remain humble.
- Heed the evidence
- Above all, we're results-oriented. When we find data that calls our original plan into question, we modify or pivot.
- Commitment
- Act with urgency
- We work as swiftly as possible. The mental health crisis is relentless, and so are we.
- Don't give up
- Our clients don't give up and neither do we. Persistence is our superpower.
Please do not call our public clinical admissions line in regard to this or any other job posting.
Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: https://www.charliehealth.com/careers/current-openings. Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services.
Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals.
At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.
Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.
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