Claims Specialist I

Summary

Join Grow Therapy, a rapidly growing mental healthcare company, as a Claims Specialist I. You will play a crucial role in researching and resolving denied claims, contacting insurance carriers, resubmitting claims, drafting appeals, and ensuring accurate patient data. This position requires strong healthcare claims knowledge, experience with medical billing, and excellent communication skills. Grow Therapy offers a competitive salary, comprehensive benefits, flexible work arrangements, and opportunities for professional development. Even if you don't meet every requirement, we encourage you to apply. We are committed to building a diverse and inclusive workplace.

Requirements

• Process-driven: Highly organized, operational thinker, rarely leaving questions unanswered
• Adaptable: You are comfortable in a fast-paced environment, with priorities changing weekly
• Healthcare Experienced: Strong understanding of healthcare claims, plan benefits, and patient responsibilities. At least 2 years of experience in Medical Billing or Healthcare setting
• Team Player: You are collaborative by nature, relish in camaraderie and group wins, and are looked to by colleagues or direct reports as a steadfast partner & source of encouragement
• Tech-Savvy: Adept in chat, email, & phone communications

Responsibilities

• Research and find solutions to denied claims
• Complete outbound calls to insurance carrier supervisors to investigate denial reasons
• Resubmit claims with errors, utilizing knowledge of CMS 1500 forms and a broad understanding of data, coding, and policy errors
• Draft appeals for relevant claim denials, adhering to medical policies for all insurance carriers
• Ensure patient data in software is correct and most up-to-date, contacting the appropriate person for any inconsistencies
• Prioritize workflows based on the age of claims

Benefits

• Comprehensive health insurance plans, including dental and vision
• Flexible working hours and location (remote OR in-office, your choice!)
• Flexible Time Off
• Company-wide winter break
• Mental health mornings (2 hours each week)
• Team meditation
• Wellness Stipend
• In-office lunch and bi-weekly remote lunch on us!
• Continuous learning opportunities
• Competitive salary
• The opportunity to help build a rapidly scaling start-up organization by taking strong ownership of your work, mentorship, and our unbounded leadership opportunities