Note: The job is a remote job and is open to candidates in USA. Mindpath Health is a national mental health services organization focused on making care more accessible and human. The Patient Financial Clearance Representative investigates mental health insurance benefits, verifies eligibility and authorization requirements, determines patient financial responsibility, and communicates cost estimates and financial options to patients. The role also coordinates with internal teams to resolve insurance and demographic issues and correct system errors.
Responsibilities
- Verify In Network and Out of Network (if applicable) mental health eligibility, benefits and authorization requirements for patient using phone system, payer portal or fax
- Patient contact is required if information is needed to complete the verification process
- Understand patient Copays, Coinsurances, Deductibles, Out of Pocket limitations, authorization requirements and Out of Network benefits
- If a patient does not have Mental Health benefits or In Network benefits, patient contact is required to notify and counsel the patient on their financial options
- Coordinate with Front Office team, Billing team, Intake team, and patients to resolve insurance issues or questions and correct FCR errors within the practice management system
- Verify eligibility, benefits and authorization requirements for existing patients when their insurance plan changes, including INN benefits, OON benefits and provider network status
- Contact patients to address any insurance and/or demographic issues
- Ability to problem-solve and prioritize work in a fast-paced changing environment
- Other tasks as assigned by leadership
- Support co-workers and engage in positive interactions
- Communicate professionally and timely with other teams and patients
- Demonstrate a professional and positive experience in all interactions with patients as well as other teams
- Provide helpful assistance in anticipating and responding to the needs of our patients
- Ability to stay calm under pressure and deal effectively with difficult situations
Skills
- 2+ years of experience in customer service-related field, insurance verification or general health care experience with a strong understanding of insurance benefits
- Interpersonal skills and ability to communicate effectively and diplomatically with patients and staff; give and receive information and answer insurance benefit questions
- Ability to accept and carry out oral instructions accurately and work independently as well as part of a team within an evolving environment
- Ability to prioritize work, handle multiple tasks to completion and make decisions on which course to follow for a particular situation
- Skill in reading and understanding documents such as training manuals written in English
- Skill in speaking clearly and distinctly using appropriate vocabulary and grammar telephone manners to handle phone work with courtesy and tact
- Ability to work independently and follow through on assignments with minimal direction and supervision
- Skill in employing independent decision-making techniques while performing various job duties
- Skill in prioritizing assignments to complete work in a timely accurate manner
- Display an aptitude and willingness to learn new responsibilities and adapt to frequently changing procedures
- Basic proficiency with Microsoft Office (Outlook, Excel and Word)
- Call Center experience strongly preferred
Benefits
- Fully remote role based in TX, NC, SC, or FL
- Medical, Dental, and Vision coverage
- Employee Assistance Program (EAP)
- Life & Long-Term Disability Insurance
- 401(k) with employer match
- Paid time off starting at 15 days per year
- Paid parental leave
- Tuition reimbursement
Company Overview