Temp AR Specialist
About The Position
Forge Health is a mission-driven outpatient mental health and substance use provider dedicated to providing the highest quality, affordable, and effective care to individuals, families, and communities in need. As the first and only behavioral healthcare provider with a proven, national payer-validated ability to drive clinical outcomes that span all areas of health, Forge Health is leading the charge in driving innovation, improving care delivery, and shaping the future of behavioral health care. At Forge, clinical care is paramount – it’s the heartbeat of our operations and the driving force in everything we do. The skill and compassion of our staff are the crucial components to extraordinary experiences and outcomes for those we serve. With our current clinical footprint in the greater Northeast, we have offices in New York, New Jersey, Pennsylvania, New Hampshire – and we’re growing! Come join us!
Requirements
- 3+ years in an Accounts Receivable role, preferably in the healthcare sector.
- Bachelors degree required.
- Extremely detail-oriented with excellent analytical, problem-solving, and organizational skills.
- Ability to keep confidential medical records of patients.
- Works well individually as well as in groups, with minimal supervision.
Responsibilities
- Work directly with insurance carriers via phone and web portals to follow up on outstanding claims, resolve payment variances, and achieve timely reimbursement.
- Examine denied claims to determine reasons and correct denials to be reprocessed for payment.
- Write and submit (potentially resubmitting) appeals to insurance carriers to resolve denials.
- Works with management to identify, trend, and address root causes of denials.
- Maintains a thorough understanding of federal and state regulations, as well as specific payer requirements and explanations of benefits, in order to identify and report billing compliance issues and payer discrepancies.
- Ensures strict confidentiality of personal client information and data.
- Drafts and edits documents/communications, as needed.
- Assists clinical staff in providing excellent customer service to all clients.
- Any other duties as required by supervisor.
Benefits
- Competitive salary aligned with your experience
- Comprehensive paid time off package
- Annual time off to volunteer
- Parental leave
- Annual continuing education allocations
- Competitive medical, dental, and vision package
- Annual subscription to a leading meditation app
- An environment that fosters professional development including financing for advanced licensure and certifications
- Internal supervision opportunities
- Dedicated, motivated team and chance to be part of a highly ambitious medical startup
- Modern, elegant, and high-end work environment
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
11-50 employees
