Medical Coding AR Specialist
Medical Coding AR Specialist
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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 theyre 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 connectionbetween clients and clinicians care teams loved ones and the communities that support them. By focusing on people with complex needs were expanding access to meaningful care and driving better outcomes from the comfort of home.
As a rapidly growing organization were reaching more communities every day and building a team thats redefining what behavioral health treatment can look like. If youre ready to use your skills to drive lasting change and help more people access the care they deserve wed love to meet you.
About the Role
This role is responsible for overseeing and managing the verification of benefits process ensuring efficient accurate policy reviews and effectively handling referral complexities. Obtaining accurate benefits is the first step in the financial process meaning accuracy is key as it determines patient responsibility and our ability to get reimbursed for services.
Our team is composed of passionate forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-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
Medical Coding:
- Review clinical documents and patient records to determine accurate medical codes (CPT ICD-10 HCPCS) for diagnoses treatments and procedures.
- Assign appropriate codes based on clinical information to ensure compliance with insurance requirements and healthcare regulations.
- Ensure coding meets payer policies including Medicaid and commercial payers and adheres to current coding guidelines.
- Stay up to date with changes in coding guidelines regulations and payer policies to ensure accuracy and compliance.
- Collaborate with healthcare providers and clinical staff to clarify documentation ensuring accuracy and completeness.
Accounts Receivable (AR) Management:
- Manage the full accounts receivable cycle including timely submission of claims follow-up on unpaid denied claims and resolution of payment issues.
- Review EOBs (Explanation of Benefits) reviewing contracts researching payer updates and payer remittances when necessary to identify and resolve discrepancies denials or underpayments.
- Work with insurance companies and internal departments to resolve any outstanding balances and ensure accurate and prompt payment.
- Maintain accurate AR records and provide regular reports on the status of outstanding accounts.
Requirements
- Highschool diploma or equivalent required
- Certification in Medical Coding (CPC CCS or equivalent) is required.
- At least 2-3 years of experience in medical coding and accounts receivable management.
- Knowledge of ICD-10 CPT and HCPCS coding systems and healthcare billing practices.
- Familiarity with insurance verification claims submission and denials management.
- Strong attention to detail and excellent analytical and problem-solving skills.
- Good communication skills both written and verbal with the ability to interact effectively with patients insurance companies and internal teams.
- Proficient in using medical billing software and Microsoft Office applications.
- Experience with electronic health records (EHR) systems.
- Knowledge of healthcare regulations payer policies and coding updates.
- Ability to handle multiple priorities and meet deadlines in a fast-paced environment
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 & dont give up.
Please do not call our public clinical admissions line in regard to this or any other job posting.
Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health please go directly to our Careers Page: Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. 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 @ email addresses. Legitimate emails will never originate from or other commercial email services.
Recruiting agencies please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner and we will not pay any fee associated with unsolicited referrals.
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.
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Required Experience:
Unclear Seniority
Employment Type
Full Time
