Description

About the Role:

Mindpath Health exists to increase access to mental health care that helps people thrive. We do this by empowering our clinicians, investing in our people, and caring for the communities we serve. 

The Patient Financial Clearance Representative is responsible for investigating and understanding mental health benefits and contacting patients to clearly communicate cost estimate information and counsel patients on their financial options.

Generating cost estimates will include pre-service investigation of mental health benefits and financial clearance activities, such as verifying eligibility,  insurance benefits, carrier information and authorization requirements via phone call, online portals or fax, determining patient liability information such as co-payments, co-insurance, deductibles and out of pocket amounts, understanding appropriate mental health authorization/referral requirements for scheduled appointments, updating demographics data and/or informing patients of their financial responsibility before their appointments.  He/she must demonstrate a positive demeanor, good verbal and written communications skills and professionalism in approach.

The Patient Financial Clearance Representative must consistently demonstrate the use of critical thinking skills, skilled communication and troubleshooting techniques as well as have excellent customer service skills. This position will have the ability to anticipate and respond to a wide variety of issues/concerns and ability to execute tasks efficiently and effectively.  This position requires the ability to independently plan and organize numerous tasks as the position directly impacts patients care and reimbursement.

Responsibilities:

• Verify In Network and Out of Network (if applicable) mental health eligibility, benefits and authorization requirements for patient using phone system, payer portal or fax.
• Patient contact is required if information is needed to complete the verification process
• Understand patient Copays, Coinsurances, Deductibles, Out of Pocket limitations, authorization requirements and Out of Network benefits
• If a patient does not have Mental Health benefits or In Network benefits, patient contact is required to notify and counsel the patient on their financial options.
• Coordinate with Front Office team, Billing team, Intake team, and patients to resolve insurance issues or questions and correct FCR errors within the practice management system
• Verify eligibility, benefits and authorization requirements for existing patients when their insurance plan changes, including INN benefits, OON benefits and provider network status
• Contacts patients to address any insurance and/or demographic issues
• Ability to problem solve and prioritize work in a fast-paced changing environment
• Other tasks as assigned by leadership
• Support co-workers and engage in positive interactions
• Communicate professionally and timely with other teams and patients
• Demonstrate a professional and positive experience in all interactions with patients as well as other teams
• Provide helpful assistance in anticipating and responding to the needs of our patients
• Ability to stay calm under pressure and deal effectively with difficult situations.

Qualifications:

• Call Center experience strongly preferred
• Total 2-3 years’ experience in customer service-related field, insurance verification or general health care experience with a strong understanding of insurance benefits
• Interpersonal skills and ability to communicate effectively and diplomatically with patients and staff; give and receive information and answer insurance benefit questions
• Ability to accept and carry out oral instructions accurately and work independently as well as part of a team within an evolving environment
• Ability to prioritize work, handle multiple tasks to completion and make decisions on which course to follow for a particular situation
• Skill in reading and understanding documents such as training manuals written in English
• Skill in speaking clearly and distinctly using appropriate vocabulary and grammar telephone manners to handle phone work with courtesy and tact
• Ability to work independently and follow through on assignments with minimal direction and supervision
• Skill in employing independent decision-making techniques while performing various job duties
• Skill in prioritizing assignments to complete work in a timely accurate manner
• Display an aptitude and willingness to learn new responsibilities and adapt to frequently changing procedures
• Basic proficiency with Microsoft Office (Outlook, Excel and Word)

The Benefits
We offer a robust benefits package to include:

• Medical, Dental, Vision, and EAP
• LTD/Life Insurance
• 401k with employer match
• PTO accrual starting at 15 days per year
• Paid Parental Leave
• Tuition Reimbursement Program

About Mindpath Health

Mindpath Health exists to increase access to mental health care that helps people thrive. We do this by empowering our clinicians, investing in our people, and caring for the communities we serve. As a national leader in mental health services, we are reimagining care delivery, reaching patients and focus on clinical excellence. With a team of more than 500+ mental health clinicians, Mindpath Health provides a broad spectrum of psychiatry, interventional psychiatry (including TMS and esketamine) and psychotherapy care.

At Mindpath Health, we offer telehealth and in-person visits and coordinate care with primary care physicians and referring providers to ensure a focus on the total health. Mindpath Health is in-network with most major health insurance providers and has more than 80 locations across California, North Carolina, South Carolina, Florida, Texas, Arizona, and growing.

Join our community and discover how rewarding work can be!

Mindpath Health is an equal opportunity employer. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, ancestry, age, disability, veteran status, or any other status legally protected by federal, state, or local law.