Eligibility Specialist

Summary

Join Cartwheel, a startup revolutionizing school-based mental health services, as an Eligibility Specialist. You will play a vital role in verifying eligibility and benefits information for students and families. This remote position, based in Boston with occasional in-person retreats, requires experience in eligibility or revenue cycle management within mental or behavioral health. You will collaborate with various teams to ensure smooth service delivery and manage complex eligibility issues. Cartwheel offers competitive compensation, equity, excellent health benefits, and a supportive team environment.

Requirements

• Prior work experience in eligibility or related patient intake and/or revenue cycle management functions in mental or behavioral health services
• Excellent organization, communication, and teamwork skills
• A passion for supporting the mental health of students including those from diverse communities
• Ability to learn quickly and desire to join an early-stage, rapidly-growing organization

Responsibilities

• Verify eligibility and benefits for patients with appointments including the deductible, coinsurance and co-pay information prior to the appointment date and document in the appropriate systems
• Manage escalations of complex eligibility issues, including calling insurance carriers to resolve issues and communicating directly with families as needed
• Act as a liaison between patients, Care Coordinators, and insurance carriers to ensure all proper measures are taken and information is collected
• Work with appropriate parties to cancel or reschedule patients based on insurance information, as needed
• Update and validate insurance information in the practice management system

Preferred Qualifications

• Proficiency in Spanish
• Experience working with Apero
• Experience in pediatric mental health and/or school-based clinical clinical services
• Experience working with health insurance carriers in the states in which Cartwheel currently operates (Massachusetts, Illinois, Ohio, New York, Connecticut and/or Rhode Island)
• Experience working in a startup environment

Benefits

• Competitive cash compensation between $50,000 to $60,000
• Equity ownership stake in the company
• High-quality health insurance with a $0 monthly premium option for employees
• Dental, Vision, and Employer-Sponsored Life Insurance
• 4 weeks of paid PTO (3 weeks any time + 1 week office closure in December)
• Sick Leave + Holidays
• 401K with 2% employer match
• Team-based culture with mission-driven colleagues who will go to bat for you