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 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.

Responsibilities

• Responsible for the timely verification of behavioral health benefits. Needs to be knowledgeable of common carve outs and exclusionary criteria.
• Review and update patients' current information and process requests accurately in the order received
• Responsible for verifying incoming patients on the daily admission schedule for all potential admissions using online portals such as Verify Treatment, payer websites, and Availity
• In each account provide a summary of information received from the insurance carrier and communicate to the appropriate teams
• Determine out of pocket costs to potential admissions and notify patient's and/or families of the cost of treatment
• Coordinate admissions with the admission center and utilization review department for per-certification needs
• Advise the supervisor of verification trends and updates
• Knowledgeable in determining when a patient visit requires a referral or case management and clearly communicates to patient and admissions team when a referral or case management is required
• Other duties as assigned.

Requirements

• 2+ years of insurance benefits verification, preferably in behavioral health
• Strong customer service experience
• Strong attention to detail, strong communication skills
• Ability to work high volume requests
• Must be proficient in Microsoft Office (Excel, Word, Outlook)
• Ability to work evening and nights as hours are 12pm to 8:30pm Monday thru Friday or Wed – Sat 11 am to 9:30 pm

Perks

Our mentality is to find the best, attract the best, and pay the best talent—which is why we prioritize quality over quantity of hires. While we offer zero-stress medical, dental, and vision coverage, competitive salaries, life and disability insurance, a generous PTO policy, we're way more excited to tell you about a few "perks" that are unique to Charlie Health. We've spent time thinking through what it means to be a mental health company and how we can better align these additional perks with our mission and values.

First and foremost, we believe that no one should ever have to compromise on their mental or physical health. This is why we offer a monthly wellness stipend for the mindfulness, talk therapy, nutrition, or fitness app or program of your choice (Headspace, TalkSpace, Noom, Peloton, gym membership, etc.). We also offer complimentary yoga sessions for you and your loved ones that are hosted by one of our licensed instructors. Our team is big on self-care, and we are committed to helping our employees live happy and healthy lives.

We also want you to live and see our mission in action. We encourage every employee—regardless of department—to shadow our vIOP sessions once per month. And while it's motivating to experience the care that we provide to patients, we also want to collectively celebrate their successes. This is why we host quarterly events to recognize alumni of our program and bring together patients and team members around shared experiences. Whether it be through a cooking class, a magic show, a comedy act, or a virtual talent competition, we want to uplift our patients and teammates, together.