Accounts Receivable Insurance Specialist

Job Description

Job Description

Why Charlie Health?

We are currently facing a nationwide mental health epidemic marked by rising rates of depression, anxiety, trauma, substance use disorders, and suicide.

At the same time, those seeking help often encounter barriers whether geographic, financial, or systemic that prevent them from receiving timely and effective care.

This urgent need calls for a reimagined approach to behavioral health treatment.

At Charlie Health, our mission is to connect the world to life-saving mental health treatment. Our innovative virtual programs combine curated group sessions, individual therapy, and family therapy, delivered through personalized, evidence-based treatment plans designed for sustainable healing from the comfort of home.

By connecting individuals with shared experiences and fostering supportive communities, Charlie Health provides a pathway to long-term recovery, with over 90% of our clients seeing improvement in their most challenging mental health symptoms.

Every member of our team shares a deep commitment to this mission. If you're driven to make a meaningful impact, we invite you to join us in reshaping the future of mental healthcare.

About the Role

The purpose of this position is to research and rectify third party healthcare insurance denials, edits, requests for information, and other related correspondence.

Support other RCM departments in identifying and analyzing open claims, as well as correct billing errors. The Accounts Receivable Representative must have a thorough knowledge of government, commercial, HMO, PPO, and other types of insurance billing guidelines in multiple states and demonstrate effective judgment when processing all claims.

Given the complexities of the healthcare insurance, it's vital we have strong, analytical, focus driven individual in this role.

Our team is comprised of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing live-saving solutions.

We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way.

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
• Responsible for timely follow-up on all appeal submissions
• Will also be involved in 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

Qualifications

• 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
• 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 #LI-HY
• Able to work a hybrid schedule of 4 days / week in our Nashville office and located within 75 minutes' commuting distance of the office

Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here. #LI-HYBRID

Our Values

• Connection : Care deeply & inspire hope.
• We care personally about every single person in the Charlie Health ecosystem : our clients, providers, and team members alike.
• We inspire hope with every interaction, reminding our clients that we truly and unconditionally believe in them.
• Congruence : Stay curious & heed the evidence.
• We ask "why" five times before we're satisfied with the answer. We don't stick to the status quo; we challenge our assumptions and remain humble.
• Above all, we're results-oriented. When we find data that calls our original plan into question, we modify or pivot.
• Commitment : Act with urgency & don't give up.
• We work as swiftly as possible. The mental health crisis is relentless, and so are we.
• Our clients don't give up and neither do we. Persistence is our superpower.

Please do not call our public clinical admissions line in regard to this or any other job posting.

Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page : https : / / www.

charliehealth.com / careers / current -openings. Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company.

In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team.

All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.

com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services.

Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals.

At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves.

Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.

Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.