As an Insurance Verification Specialist at Ellie Mental Health, you will do insurance verification for psychotherapy services performed at our network of outpatient mental health clinics across the country. This will include maintaining grants and programs as it relates to eligibility, benefits, referrals and authorizations. You will be responsible for deciphering complex insurance and account eligibility discrepancies, verifying and updating client insurance benefit information, obtaining and tracking authorizations, speaking with clients via phone to obtain information and explain benefits, coordinating insurance information with clinical sites. We believe mental health is super important! We know that every position at Ellie contributes to our overall mission of bettering the lives of everyday families.

Ellie Mental Health is a bad @ss, rapidly growing mental health and wellness agency based out of MN and serving multiple communities throughout the country. We take a fresh, no bullsh!t approach to helping others through individual, family, and group therapy services, assessments, med management, and other unique therapy modalities through our outpatient mental health clinics.

This is a fully remote position with the opportunity to work out of AZ, CO, FL, GA, IL, IN, KS, MI, MN, ND, OH, OR, TX, VA, WA, or WI.

ESSENTIAL JOB FUNCTIONS INCLUDE:

· Obtain and maintain accurate, detailed client eligibility information in EHR.

· Interface with our Clinic Owners to ensure proper eligibility and authorization set up for optimal revenue

· Create and maintain relationships with our community partners in these specialty grants and programs.

· Attend any necessary meetings

· Track service authorization requirements & usage; obtain authorizations as necessary.

· Act as direct liaison to clinical teams, communicating about client insurance information with clinic staff.

· Act as a direct liaison to internal staff as well as external partners on special departmental projects as assigned.

· Call insurance companies for complex insurances

· Communicate changes in client information to clinical staff and other departments as indicated.

· Assist clinicians in completion of necessary administrative paperwork related to insurance or a client’s financial information.

· Track required client financial documentation and assist clinical teams as needed in maintaining documentation in accordance with payer & state requirements.

· Explain benefits and financial responsibility to clients

· Assist Billing Team in researching claims appeals and denials.

· Assist clinical teams with managing client benefits.

· acts as back up to Insurance Verification Lead with staff training and provides guidance and support.

· Perform other duties as assigned.

JOB REQUIREMENTS INCLUDE:

· In-depth knowledge of benefit verification, service authorization procedures, medical terminology and insurance billing codes.

· Preferred Associates Degree in business, medical billing or related field, or equivalent experience in healthcare/medical insurance environment.

· Minimum 2 years of healthcare financial/business office or similar third-party payer claims experience.

· Familiarity with mental health terminology.

· High degree of critical thinking and problem-solving skills

· Strong attention to detail and ability to work through a large volume of accounts with accuracy and efficiency

· Ability to multi task and perform job responsibilities with minimum supervision and possess a certain degree of resourcefulness and creativity.

· Strong computer, customer service and communication skills.

· Competence in word-processing and Microsoft Excel spreadsheet application.

· Ability to interact with clients and staff with the use of considerable tact and judgment.

This is a remote position.