Patient Account Representative, Lead at Charlie Health Behavioral Health Operations

Nashville, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

20 Apr, 26

Salary

60000.0

Posted On

20 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Account Receivable, Behavioral Health, Payer Specific Billing Requirements, Medicaid, Organization, Time Management, Attention to Detail, HIPAA Compliance, Cloud-Based Communication Software, Google Suite, Slack, Zoom, Dropbox, Salesforce, EMR Software

Industry

Mental Health Care

Description

Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we’re expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that’s redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we’d love to meet you. About the Role The purpose of this position is to research and resolve claim denials timely by identifying payer trends and working to get them resolved on a payer level, reducing timely filing and preventing claims from rolling over a 90 day AR. We’re a team 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. If you’re inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today. Responsibilities Maintain aged insurance accounts receivable (AR) queues at a reasonable stage as defined by leadership Meet quality metrics and key performance indicators as defined by leadership Responsible for reviewing and appealing denied claims Provide clinical documentation as needed for escalated appeals Responsible for timely follow-up on all appeal submissions Identify payer trends related to denials and work with the team to get them resolved Collaborate with other departments throughout the company to ensure smooth and efficient operations Communicate clearly and effectively with payers, teammates and leadership Requirements 2+ years of experience in insurance account receivable department, preferably in behavioral health Knowledge of payer specific billing requirements, including Medicaid Highly organized and able to track workflows through various tools Strict attention to detail with excellent organization and time management skills Maintain a high level of integrity and confidentiality (HIPAA) Familiarity with and willingness to use cloud-based communication software—Google Suite, Slack, Zoom, Dropbox, Salesforce–in addition to EMR software on a daily basis. Benefits Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here. The total target base compensation for this role will be between $44,000 and $60,000 per year at the commencement of employment. In addition to base compensation, this role also offers a performance bonus. The expected total cash compensation range, including potential bonus, will be between $46,000 and $63,000 per year. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include stock options and other Charlie Health-sponsored benefits. 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. #LI-HYBRID Our Values Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don’t give up. 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. By clicking "Submit application" below, you agree to Charlie Health's Privacy Policy and Terms of Service. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

Responsibilities

The Patient Account Representative, Lead is responsible for researching and resolving claim denials, identifying payer trends, and ensuring timely follow-up on appeals. The role also involves maintaining aged insurance accounts receivable and collaborating with other departments for efficient operations.