Verification of Benefits Specialist

Charlie Health•Nashville, TN

10d•Hybrid

About The Position

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 financial process meaning accuracy is key as it determines patient responsibility and our ability to get reimbursed for services. 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 life-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.

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 confidentially 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 details
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

Responsibilities

Verifies insurance policy benefits for new and returning patients with payers
Assures all insurance information has been completely and accurately obtained
Document 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
Investigate escalated insurance billing inquiries and inaccuracies and take appropriate action to resolve the account
Other duties as assigned