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Verification of Benefits Specialist

Charlie Health

About the Role This role is responsible for overseeing and managing the verification of benefits process, ensuring efficient, accurate policy reviews and effectively handling referral complexities. Obtaining accurate benefits is the first step in the financial process; accuracy is key as it determines patient responsibility and our ability to get reimbursed for services. Responsibilities Verifies insurance policy benefits for new and returning patients with payers Assures all insurance information has been completely and accurately obtained Documents all pertinent insurance information into SalesForce Informs teams of support actions necessary for insurance or referral issues Identifies special policy clauses per policy information to aid in financial and admission decisions Educates patients, families and internal teams on insurance issues Identifies all third party financial benefits and directs them for financial counseling and revenue cycle as appropriate Provides support to admissions and revenue cycle teams as necessary Investigates escalated insurance billing inquiries and inaccuracies and takes appropriate action to resolve the account Other duties as assigned Requirements 3-5 years related work experience in health care administrative, financial, insurance, customer services, claims, billing, call center, or management Knowledge of medical billing practices, office policies and procedures Knowledge of all confidentiality requirements regarding patients and strict maintenance of proper confidentiality on all such information Excellent written and verbal communication skills Organizational skills Ability to maintain a high level of integrity and confidentiality of medical information Strict attention to detail Able to work a hybrid schedule of 4 days per 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. Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota. Equal Opportunity Employer 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. #J-18808-Ljbffr

Vacancy posted 2 days ago
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