Healthcare Insurance Specialist

6 days ago


Nashville, Tennessee, United States Charlie Health Full time

About Charlie Health

We are a cutting-edge healthcare organization dedicated to revolutionizing mental health treatment. Our mission is to connect individuals with life-saving care, leveraging innovative virtual programs and evidence-based treatment plans.

As a leader in the industry, we pride ourselves on our commitment to compassion, creativity, and results-driven approaches. We're driven by a shared passion for making a meaningful impact and empowering individuals to thrive.

The Role

This position plays a critical role in researching and resolving third-party insurance denials, edits, and requests for information. You will work closely with cross-functional teams to identify and analyze open claims, ensuring timely resolution and optimal revenue recovery.

We seek an analytical and detail-oriented individual with strong knowledge of government, commercial, HMO, PPO, and other types of insurance billing guidelines. Your expertise will enable you to effectively process claims, resolve disputes, and maintain accurate records.

Responsibilities

  • Maintain aged insurance accounts receivable (AR) queues at a reasonable age-base date as defined by leadership.
  • Responsible for reviewing and appealing denied claims for bundling, medical coding, and contracting-related issues.
  • 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.
  • Work and coordinate with other departments to ensure smooth and efficient operation in all areas of aged AR.
  • Work necessary reports to ensure assigned AR is actively worked & maintained

Requirements

  • 3+ years of experience in insurance account receivable department, preferably in behavioral health.
  • Knowledge of payer-specific billing requirements.
  • Highly organized and able to track workflows through various tools.
  • Straightforward 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.
  • Able to work a hybrid schedule of 4 days/week in our Nashville office and located within 75 minutes' commuting distance of the office.

Estimated Salary Range: $60,000 - $80,000 per year, based on location and experience.

About Our Culture

We value diversity, equality, and inclusion, striving to create an environment where every team member feels supported and valued. At Charlie Health, we prioritize collaboration, innovation, and compassion, recognizing that our collective success depends on the unique perspectives and strengths of each individual.



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