Insurance Operations Specialist - Remote jobs in United States
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Blackbird Health · 14 hours ago

Insurance Operations Specialist - Remote

Blackbird Health is a clinician-founded organization dedicated to providing mental health services for children and young adults. They are seeking an Insurance Operations Specialist to manage the lifecycle of insurance operations, ensuring accurate patient benefit management and serving as a liaison for insurance inquiries.

Health CareInformation TechnologyMedicalWellness

Responsibilities

Verify insurance coverage, eligibility, and benefits for new and existing patients
Call insurance companies to confirm coverage and resolve issues related to pre-authorizations, referrals, and claims
Serve as a point of contact for patient questions about insurance coverage, copays, and billing
Manage and track pre-authorizations for clinical services to ensure timely approval and updates
Support patients and other Blackbird departments to help ensure continuity of care
Provide exceptional customer service by actively listening to and addressing patient concerns

Qualification

Insurance eligibility verificationCPTICD-10 codingClaims denial resolutionEHR/PM SystemsMedical billing terminologyCustomer serviceHIPAA compliance

Required

Expertise in verifying insurance eligibility, coverage, and benefits for diverse patient populations
Successfully navigated complex insurance pre-authorization and referral processes to ensure patient access to care
Deep understanding of CPT and ICD-10 coding relevant to medical billing and claims submission
Demonstrated ability to resolve complex claims denials and manage accounts receivable effectively
Thorough comprehension of various insurance plans, including HMO, PPO, EPO, and government programs (Medicare, Medicaid)
2-4 years of health care billing experience working with insurance companies
2-4 years of experience with EHR/PM Systems such as Athena
1-3 years of experience in a customer service setting
Experience with insurance eligibility verification and benefits determination
Familiarity with securing prior authorizations and referrals for services
Knowledge of medical billing and insurance terminology
Ability to maintain confidentiality according to HIPAA regulations
Reliable high-speed internet access

Benefits

Medical, Dental & Vision coverage
401k (with a company match)
Employer-paid life insurance coverage
Generous paid time off
Opportunities for career growth
Diverse and experienced leadership team, supportive work culture

Company

Blackbird Health

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Blackbird Health is a mental health clinic that supports children and young adults facing social, developmental, and academic difficulties.

Funding

Current Stage
Growth Stage
Total Funding
$17M
Key Investors
Define Ventures
2024-02-21Series A· $17M

Leadership Team

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Tom Peterson
Chief Executive Officer
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Matthew Keener
Co-Founder
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Company data provided by crunchbase