Charlie Health is hiring a
Payment Posting Associate

About the Role

The purpose of this position is to ensure that the overall patient account is billed, reimbursed, posted, money allocated appropriately to get the balance of the account to a zero balance.  The candidate for this role would need to be diverse in all aspects of the revenue cycle as they will understand the complexities of the life cycle of a claim.

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 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

• Insurance refund requests on overpaid claims:
• This role will handle any insurance refund requests received from insurance payers
• They will Scan each letter for the history of the request
• Enter each refund letter on the refund tracker log
• Validate each insurance refund request with the patient’s account
• Contact insurance payers if the insurance refund request is not valid
• Request/Issue the insurance request to complete the patient’s account to zero balance
• Patient refund requests:
• This role will issue patient refunds when applicable
• Patient Refunds will occur when the patient requests a refund due to overpayment or when this role reconciles a patient account to zero the balance.
• If the patient requests a refund, this role will review the patient’s account in the billing system for accuracy, issue the refund in Open Edge, post the refund in the billing system and log the patient refund in the refund tracking log.  If manual check, this role will request the refund be issued via check and enter the information on the refund tracking log for posting to complete the posting once the refund check has been paid from the company bank account
• This role will reconcile patient accounts to a zero balance and if there is a patient credit balance that needs to be issued depending on the original payment (Credit Card/Manual Check), they will issue the refund in Open Edge (Credit Card) or request a manual refund check (Manual Check), enter the patient information on the refund tracker log and post the refund in the billing system (Credit Card), if is a manual check the poster will post in the billing system once the refund has been paid from the company bank account
• Insurance underpayments or overpayments:
• This role will reconcile the Waiting to Review status in the billing system weekly
• They will review the insurance payment with the following for discrepancies:
• The contract matrix
• VOB
• SCA 
• Backfill all other responsibilities of the other Reconciliation role:
• Allocate patient funds from the unallocated report
• SCA Alerts set in billing system from SCA list
• Scholarship/Hardship Adjustmente
• Self-Pay adjustments to IOP rate
• KPI updates on unapplied patient cash weekly
• Reconciling patient accounts to zero balance, including contacting the patient when necessary
• Backfill Cash Posting position, when needed

Qualifications

• 3-5+ years of experience within revenue cycle
• Strong level of comprehension of the entire Revenue Cycle, from beginning to end
• Understand sense of urgency when resolving patient accounts
• Customer service skills to work with insurance companies and teammates within the company
• Maintain a high level of integrity and confidentiality of medical information
• Proficiency in computer skills including typing speed and accuracy
• Outstanding written and verbal communication skills
• Ability to prioritize
• Mathematics skills
• Strict attention to detail with excellent organizational skills
• Able to work a hybrid schedule of 4 days per 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.

Note: We are not currently considering applicants in CA, CO, NY, and WA for this position.#LI-HYBRID

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