Benefits Verification Specialist

4 days ago


Nashville, Tennessee, United States Charlie Health Full time

About the Role

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This role involves overseeing and managing the verification of benefits process to ensure efficient, accurate policy reviews and effective handling of referral complexities.

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The goal is to obtain accurate benefits as the first step in the financial process, ensuring patient responsibility and reimbursement for services.

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We are seeking a candidate who shares our passion for making a meaningful impact in the mental health crisis and is excited about building a business that will impact millions of lives.

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Responsibilities\
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  • Verify insurance policy benefits for new and returning patients with payers.\
  • Ensure all insurance information has been obtained completely and accurately.\
  • Document all pertinent insurance information into Salesforce.\
  • Inform teams of support actions necessary for insurance or referral issues.\
  • Identify special policy clauses per policy information to aid in financial and admission decisions.\
  • Educate patients, families, and internal teams on insurance issues.\
  • Identify third-party financial benefits and direct them to financial counseling and revenue cycle as appropriate.\
  • Support admissions and revenue cycle teams as needed.\
  • Investigate escalated insurance billing inquiries and inaccuracies, taking appropriate action to resolve the account.\

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