Charliehealthbehavioralhealthoperations
RCM Specialist
Nashville, TN · Full-time
Sponsorship not specifiedDetected 19 hours ago
ComplianceHIPAACommunicationClaims Management
About the role
- This role is responsible for driving the foundational stages of the reimbursement cycle by managing initial and mid-stay authorizations, payor notifications, and daily billing system triaging.
- Securing timely authorizations and maintaining precise documentation is a critical step in the financial process, directly preventing coverage gaps and administrative denials.
- By proactively managing these worklogs, this specialist ensures steady revenue flow, minimizes financial risk during a client's treatment stay, and protects the organization's ability to get reimbursed for services.
Responsibilities
- Executing ad hoc authorization and billing tasks as directed by management to support general department workflows and revenue capture.
- We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals.
Requirements
- Proficiency with RCM billing systems and workflow triaging to effectively navigate and manage daily electronic task queues
- Knowledge of all confidentiality requirements (HIPAA) regarding patients and strict maintenance of proper confidentiality on all such information
Benefits
- Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees.
- Read more about our benefits here. #LI-H YBRID
- If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: https://www.charliehealth.com/careers/current-openings.
- 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.
- Submitting initial authorization requests and tracking progress through final payor outcome to ensure coverage is active prior to service delivery.
- Managing and submitting new policy authorization requests for active clients who experience a change in coverage mid-treatment stay.
Company info
- 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.
- Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company.
Visa & Work Authorization
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