Insurance Verification Specialist

The role

This person will oversee and manage the verification of benefits process. They will perform policy reviews and handle referral complexities to determine patient responsibility and reimbursement.

What you will do

• Verifies insurance policy benefits for new and returning patients with payers
• Assures all insurance information has been completely and accurately obtained
• Document all pertinent insurance information into SalesForce
• Informs teams of support actions necessary for insurance or referral issues
• Identifies special policy clauses per policy information to aid in financial and admission decisions
• Educates patients, families and internal teams on insurance issues
• Identifies all third party financial benefits and directs them for financial counseling and revenue cycle as appropriate
• Provides support to admissions and revenue cycle teams as necessary
• Investigate escalated insurance billing inquiries and inaccuracies and take appropriate action to resolve the account
• Other duties as assigned

Required qualifications

• 3-5 years related work experience in health care administrative, financial, insurance, customer services, claims, billing, call center, or management
• 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
• 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

Benefits

• comprehensive benefits to all full-time, exempt employees

Before you apply

• this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota

About the company

Charlie Health exists to connect the world to life-saving behavioral health treatment. They deliver personalized, virtual care for people with complex mental health, substance use, and eating disorders.