Insurance Operations Specialist - Remote at Blackbird Health

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Full Time

Start Date

Immediate

Expiry Date

29 Apr, 26

Salary

28.0

Posted On

29 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Eligibility Verification, Pre-Authorization Processes, CPT Coding, ICD-10 Coding, Claims Denial Resolution, Accounts Receivable Management, Insurance Plans Knowledge, Customer Service

Industry

Mental Health Care

Description

About Blackbird Our Commitment Blackbird Health is clinician-founded, owned, and operated by dedicated professionals. We believe that in order to fulfill our ambitious mission of supporting children with the very best care, we must build the best possible team. Blackbird Health offers virtual and in-person mental health services for children and young adults in Pennsylvania, Virginia, and New Jersey, with plans to expand to new states in 2026. Blackbird services include comprehensive evaluations and assessments, medication management, and a wide range of therapy services. Clinicians at Blackbird Health take the time to truly understand what is causing a child’s challenges. By looking at how their brain, body, and behavior interact, Blackbird Care Teams see connections that are often missed when these areas are assessed separately. Nearly nine out of 10 young people who need support have more than one factor affecting them, which is why our whole-child model excels at identifying how conditions overlap. This deeper understanding allows Blackbird clinicians to create precise care plans that address the underlying cause of challenges, not just manage the symptoms. If you care deeply about helping others and are eager to join a collaborative, innovative community where you will be encouraged and supported to thrive both personally and professionally, Blackbird is a great place to advance your career. Our teams are integral to the success of our patients and our mission, and we are excited to welcome more compassionate, inspired thought leaders to our growing organization. We want your time here to be the most meaningful of your career. Join us and help change mental health care for children for the better. Position Summary Blackbird Health is looking to hire an Insurance Operations Specialist to join our growing team. This role will expertly manage the complete lifecycle of insurance operations, including verifying patient benefits, securing necessary pre-authorizations, and ensuring strict adherence to all payer guidelines. The specialist serves as the primary liaison for insurance inquiries and is crucial in maintaining a positive patient experience through accurate and timely benefit management. What makes you, you: Expertise in verifying insurance eligibility, coverage, and benefits for diverse patient populations. Successfully navigated complex insurance pre-authorization and referral processes to ensure patient access to care. Deep understanding of CPT and ICD-10 coding relevant to medical billing and claims submission. Demonstrated ability to resolve complex claims denials and manage accounts receivable effectively. Thorough comprehension of various insurance plans, including HMO, PPO, EPO, and government programs (Medicare, Medicaid). How you’ll make an impact: Verify insurance coverage, eligibility, and benefits for new and existing patients. Call insurance companies to confirm coverage and resolve issues related to pre-authorizations, referrals, and claims. Serve as a point of contact for patient questions about insurance coverage, copays, and billing. Manage and track pre-authorizations for clinical services to ensure timely approval and updates. Support patients and other Blackbird departments to help ensure continuity of care. Provide exceptional customer service by actively listening to and addressing patient concerns. The basics you’ll need: 2-4 years of health care billing experience working with insurance companies. 2-4 years of experience with EHR/PM Systems such as Athena. 1-3 years of experience in a customer service setting. Experience with insurance eligibility verification and benefits determination. Familiarity with securing prior authorizations and referrals for services. Knowledge of medical billing and insurance terminology. Ability to maintain confidentiality according to HIPAA regulations. Reliable high-speed internet access. Why Blackbird is unique: Excellent administrative support is provided Explore your career advancement potential by receiving opportunities to grow with tenure Supportive work culture Blackbird Health is made up of intelligent, humble, compassionate and hardworking people. Joining the ranks means you'll have an automatic network to turn to for best practices, professional development, and opportunities to share your expertise Benefits: Medical, Dental & Vision coverage 401k (with a company match) Employer-paid life insurance coverage Generous paid time off Opportunities for career growth Diverse and experienced leadership team, supportive work culture Salary Range $25—$28 USD Join us! To raise the standard of pediatric mental health care through accurate understanding and precise treatment that reflect how each child’s brain, body, and behavior work together. “It's so rare to find comprehensive care like this---from testing to therapy to med management (and more)--all in one place. In addition, the school advocacy support we receive is unprecedented. We no longer feel like we are managing things alone.” Fostering an inclusive environment: Blackbird is committed to cultivating and preserving a culture of inclusion and belonging. We are able to grow and learn better together with a diverse team of employees. In recruiting for our team, we welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran status, color, religion, disability, sexual orientation and beliefs. Blackbird provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type. If you need a reasonable accommodation during the application or interview process, please contact us at recruiting@blackbirdhealth.com so we can support you. Our patient support team is busy helping children and families, please do not call or email them about your application — this helps us process your application more efficiently.

Responsibilities

The Insurance Operations Specialist will manage the complete lifecycle of insurance operations, including verifying patient benefits and securing pre-authorizations. They will serve as the primary liaison for insurance inquiries and ensure a positive patient experience through accurate benefit management.