Patient Financial Services Representative

The role

This person will research and rectify third party healthcare insurance denials, edits, and requests for information. They will support RCM departments by identifying and analyzing open claims and correcting billing errors.

What you will do

• Maintain aged insurance accounts receivable (AR) queues at a reasonable age-base date as defined by leadership
• Reviewing and appealing denied claims for bundling, medical coding, and contracting related issues
• Timely follow-up on all appeal submissions
• Processing of corrected claims and assisting with timely turnaround for medical documentation requests
• Providing follow-up and feedback to leadership regarding assignments
• Works and coordinates with other departments throughout the company to ensure smooth and efficient operation in all areas of aged AR
• Works necessary reports to ensure assigned AR is actively worked & maintained

Required qualifications

• 3+ years of experience in insurance account receivable department
• Knowledge of payer specific billing requirements
• Highly organized and able to track workflows through various tools
• Strict attention to detail with excellent organizational skills
• Customer service skills to work with insurance companies and teammates within the company
• Maintain a high level of integrity and confidentiality of medical information
• Located within 75 minutes' commuting distance of the office

Nice to have

• experience in behavioral health

Benefits

• comprehensive benefits to all full-time, exempt employees

About the company

Charlie Health exists to connect the world to life-saving behavioral health treatment. They deliver personalized, virtual care rooted in connection.