Claims Analyst

Job DescriptionJob Description

About Us:

Soultenders is dedicated to enhancing the accessibility of quality mental health services by offering comprehensive administrative support to licensed mental health professionals.  This allows our providers to concentrate on client care and the growth of their private practices, free from administrative burdens.  For more information, please visit www.soultenders.com

 

The Opportunity:

We are looking for a detail-oriented and proactive Claims Analyst to join our growing team.  If you are passionate about mental health and enjoy resolving complex billing challenges, this role could be a great fit for you  

 

Primary Responsibilities:

• Claims Management: Monitor and manage the status of outstanding insurance claims, ensuring prompt resolution in accordance with industry regulations and insurance carrier guidelines.
• Claims Re-billing: Follow up on re-billed and corrected claims to ensure they are submitted within insurance carrier filling deadlines.
• Eligibility Verification: Accurately obtain and verify patient eligibility, coverage, benefits, and authorization information from insurance carriers.
• Data Management: Maintain up-to-date patient, payer, and claim-related information, and proactively address any discrepancies that could affect reimbursement (e.g., 1500 claim forms, Explanation of Benefits (EOBs), patient insurance information).  
• Documentation: Record all outstanding claim resolution activity within TherapyNotes, ensuring accurate and timely documentation in the system.  
• Collaboration: Communicate with clinicians, external insurance payers, and other relevant entities to resolve outstanding claims.  Work closely with the manager or supervisor to stay informed about new processes, best practices, and developments related to claims resolution.  
• Patient Communication: Respond to inquiries via phone and email from current and prospective patients regarding claims and billing concerns.
• Compliance & Reporting: Report clinician non-compliance issues related to claims resolution to the manager/supervisor and assist in resolving problem claims as directed.
• Administrative Support: Provide project-based and general administrative assistance to the team as needed, including business development support. 

May perform additional duties as assigned

Skills, Knowledge & Abilities:

• Strong attention to detail with the ability to manage multiple tasks in a fast-paced environment.
• Excellent communication and problem-solving skills, particularly in working with clinicians, insurance carriers, and patients.  
• Proficiency with electronic health record (EHR) systems, such as TherapyNotes, and the ability to document accurately and efficiently.
• Knowledge of insurance claims processes and familiarity with healthcare reimbursement practices, including California-specific regulations and HIPAA compliance.
• Ability to work independently, prioritize tasks, and meet deadlines.

 

Requirements:

·        Education: High school diploma or equivalent required

·        Experience: Minimum of 1-2 years of experience in healthcare claims processing, insurance billing, or a related administrative role.  Experience in mental health or behavioral health setting is a plus.

·        Technology Skills: Proficient in Microsoft Office Suite (Word, Excel, Outlook) and familiarity with billing software and EHR systems. 

·        Compliance: Knowledge of federal and California state healthcare regulations, including HIPAA and insurance carrier requirements.

 

Physical Requirements:

·        Ability to sit, talk, and hear regularly.

·        Frequent walking and standing may be required.

·        Occasionally required to lift and move objects weighing up to 10 pounds.  

·        Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Benefits:

 Full-time employees are eligible for a comprehensive benefits package after a 90-day probationary period, including:

Medical, dental and vision insurance

401(k) Retirement

 

Soultenders is committed to creating an inclusive work environment. We offer competitive compensation and benefits to support the well-being of our employees. Working at Soultenders is more than just a job—it's an opportunity to contribute to a mission-driven organization that makes a meaningful difference in mental health care.

 

Equal Opportunity Employer: Soultenders is an equal opportunity employer, committed to a diverse and inclusive workforce.  We comply with all federal, state, and local laws regarding employment practices, and ensure non-discrimination in hiring and employment practices.

Company DescriptionSoultenders is committed to making quality mental health services accessible to all by offering licensed mental health providers with their administrative needs so they can focus on their clients and their private practice instead of the paperwork.Company DescriptionSoultenders is committed to making quality mental health services accessible to all by offering licensed mental health providers with their administrative needs so they can focus on their clients and their private practice instead of the paperwork.

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