Claims Specialist I

Summary

Join Grow Therapy as a Claims Specialist I and contribute to our mission of providing accessible mental healthcare. Initially, you will research and resolve denied claims, contact insurance carriers, resubmit corrected claims, draft appeals, maintain accurate patient data, and prioritize workflows. This role requires a process-driven approach, adaptability, and strong healthcare claims experience. Grow Therapy offers a competitive salary, comprehensive health insurance, flexible working hours, flexible time off, and various wellness benefits. We are a rapidly scaling start-up, providing opportunities for growth and mentorship. We value a collaborative team environment.

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
• Flexible Time Off
• Company-wide winter break
• Mental health mornings (2 hours each week)
• Wellness Stipend
• In-office meals and snacks
• 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