Patient Financial Services Representative

Charlie Health; Nashville (TN); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Benefits

Job summary

Charlie Health, Inc. is seeking an Accounts Receivable Representative to research and rectify third-party insurance denials and related correspondence.

You will support AR workflows, appeal decisions, and coordinate with other departments to optimize revenue cycles for behavioral health services. The role requires 3+ years in insurance AR, knowledge of payer billing requirements, and strong organizational and confidentiality skills.

Qualifications

• 3+ years of experience in an insurance accounts receivable role, preferably in behavioral health.
• Knowledge of payer specific billing requirements and coding issues.
• Strong organizational skills and ability to track workflows.
• Excellent attention to detail and customer service mindset.
• Ability to maintain confidentiality of medical information and work in a hybrid schedule.

Responsibilities

• Maintain aged insurance accounts receivable queues as defined by leadership.
• Review and appeal denied claims related to bundling, coding, and contracts.
• Timely follow-up on all appeal submissions.
• Process corrected claims and support timely medical documentation requests.
• Provide follow-up and feedback to leadership on assignments.
• Coordinate with other departments to ensure smooth AR operations.
• Run reports to ensure AR is actively worked and maintained.

Skills

3+ years experience in AR

Knowledge of payer billing rules

Highly organized

Attention to detail

Customer service skills

Integrity and confidentiality

Hybrid work availability

Job 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 rectify third party healthcare insurance denials, edits, requests for information, and other related correspondence. Support other RCM departments in identifying and analyzing open claims, as well as correct billing errors. The Accounts Receivable Representative must have a thorough knowledge of government, commercial, HMO, PPO, and other types of insurance billing guidelines in multiple states and demonstrate effective judgment when processing all claims. Given the complexities of the healthcare insurance, it's vital we have strong, analytical, focus driven individual in this role.

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 live-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

• Maintain aged insurance accounts receivable (AR) queues at a reasonable age-base date as defined by leadership
• Responsible for reviewing and appealing denied claims for bundling, medical coding, and contracting related issues
• Responsible for timely follow-up on all appeal submissions
• Will also be involved in processing of corrected claims and assisting with timely turnaround for medical documentation requests
• Providing follow-up and feedback to leadership regarding assignments
• Works and coordinates with other departments throughout the company to ensure smooth and efficient operation in all areas of aged AR
• Works necessary reports to ensure assigned AR is actively worked & maintained

Qualifications

• 3+ years of experience in insurance account receivable department, preferably in behavioral health
• Knowledge of payer specific billing requirements
• Highly organized and able to track workflows through various tools
• Strict attention to detail with excellent organizational skills
• Customer service skills to work with insurance companies and teammates within the company
• Maintain a high level of integrity and confidentiality of medical information#LI-HY
• Able to work a hybrid schedule of 4 days/week in our Nashville office and located within 75 minutes' commuting distance of the office

Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here. #LI-HYBRID

Our Values

• Connection: Care deeply & inspire hope.
• Congruence: Stay curious & heed the evidence.
• Commitment: Act with urgency & don't give up.

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.