Patient Financial Services Representative

Accounts Receivable Insurance Specialist

Join to apply for the Accounts Receivable Insurance Specialist role at Charlie Health
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Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.

About The Role
The purpose of this position is to research and rectify third party healthcare insurance denials, edits, requests for information, and other related correspondence. Support other RCM departments in identifying and analyzing open claims, as well as correct billing errors. The Accounts Receivable Representative must have a thorough knowledge of government, commercial, HMO, PPO, and other types of insurance billing guidelines in multiple states and demonstrate effective judgment when processing all claims.

Given the complexities of healthcare insurance, it’s vital we have a strong, analytical, focused individual in this role. Our team consists of forward-thinking professionals dedicated to addressing the mental health crisis and providing live-saving solutions. We are looking for a candidate inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way.

Responsibilities

• Maintain aged insurance accounts receivable (AR) queues at a reasonable age-base date as defined by leadership
• Review and appeal denied claims for bundling, medical coding, and contracting related issues
• Perform timely follow-up on all appeal submissions
• Process corrected claims and assist with timely turnaround for medical documentation requests
• Provide follow-up and feedback to leadership regarding assignments
• Coordinate with other departments to ensure smooth operation of aged AR
• Run and review necessary reports to actively manage AR

Qualifications

• 3+ years of experience in an insurance accounts receivable department, preferably in behavioral health
• Knowledge of payer-specific billing requirements
• Highly organized and able to track workflows through various tools
• Strong attention to detail with excellent organizational skills
• Customer service skills to work with insurance companies and teammates
• Maintain a high level of integrity and confidentiality of medical information
• Able to work a hybrid schedule of 4 days/week in Nashville, within 75 minutes of the office

Benefits

Charlie Health offers comprehensive benefits to full-time employees. Read more about our benefits on the Careers page.

Equal Opportunity and Fraud Advisory

• Charlie Health is an Equal Opportunity Employer. We value diverse perspectives to provide essential mental health and substance use disorder treatments.
• All applicants are assessed on qualifications for the role, without regard to disability or need for accommodation.
• Recruiting agencies, please do not submit unsolicited referrals.

By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application; message and data rates may apply.

Seniority level
Mid-Senior level

Employment type
Full-time

Job function
Accounting/Auditing and Finance

Industry
Mental Health Care