- Research and find solutions to denied claims.
- Complete outbound calls to insurance carrier supervisors to investigate denial reasons.
- Resubmit claims with errors, utilizing knowledge of CMS 1500 forms and a broad understanding of data, coding, and policy errors.
- Draft appeals for relevant claim denials, adhering to medical policies for all insurance carriers
- Ensure patient data in software is correct and most up-to-date, contacting the appropriate person for any inconsistencies.
- Prioritize workflows based on the age of claims.
- Process-Driven: Highly organized, operational thinker, rarely leaving questions unanswered.
- Adaptable: You are comfortable in a fast-paced environment, with priorities changing weekly.
- Healthcare Experienced: Strong understanding of healthcare claims, plan benefits, and patient responsibilities. At least 2 years of experience in Medical Billing or Healthcare setting.
- Team Player: You are collaborative by nature, relish in camaraderie and group wins, and are looked to by colleagues or direct reports as a steadfast partner & source of encouragement
- Tech-Savvy: Adept in chat, email, & phone communications.
- Strong attention to research and payor experience
- The chance to drive impact within the mental healthcare landscape from day one
- Comprehensive health insurance plans, including dental and vision
- Our dedication to mental health guides our culture. Wellness benefits include (but are not limited to):
- Flexible working hours and location (remote OR in-office, your choice)
- Generous PTO
- Company-wide winter break
- Mental health mornings (2 hours each week)
- Team meditation
- Wellness Stipend
- In-office lunch and biweekly remote lunch on us
- Continuous learning opportunities
- Competitive salary
- The opportunity to help build a rapidly scaling start-up organization by taking strong ownership of your work, mentorship, and our unbounded leadership opportunities
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Claims Specialist I - Remote, United States - Grow Therapy
Description
About us:
Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Following the mass increase in depression and anxiety, the need for accessibility is more important than ever. To make our vision for mental healthcare a reality, we're building a team of entrepreneurs and mission-driven go-getters. Since launching in February 2021, we've empowered more than ten thousand therapists and hundreds of thousands of clients across the country and insurance landscape. We've raised more than $178mm of funding from Sequoia Capital, Transformation Capital, TCV, SignalFire, and others.
What You'll Do:
We're looking for an experienced Claims Specialist who is passionate about improving the landscape for mental healthcare. This position will help directly improve our Billing operations.
You will be responsible for all aspects of billing related to claim denials and resolutions. You will report directly to a Team Lead on our Billing team to identify denial trends and investigate affected claims. You will also work closely with our Customer Support teams to assist with provider or client questions related to billing. From day one, you'll get exposure to what it's like to build a business from the ground-up and you'll be able to drive real impact.
As a Claims Specialist I, your responsibilities might evolve as we scale. Your initial responsibilities will include:
Salary range: Starting rate is $26/hour with consideration for experience
You Are a Good Fit If You Are:
If you don't meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume.
Benefits
#LI-REMOTE
Grow Therapy is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.
Claims Specialist I professionals in Remote
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DORIANT KAMSU
BILINGUAL SALE SUPPORT SPECIALIST FRENCH /ENGLISH