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RCM Benefits Specialist

Foresight Mental Health

Foresight Mental Health

Accounting & Finance
Tulsa, OK, USA
Posted on Saturday, June 29, 2024

Welcome to Foresight Mental Health. We’re so glad you’re considering joining our team.

At Foresight Mental Health, we are committed to supporting our team of diverse providers and offering compassionate care to our clients! Join us in this new year to continue our mission of improving access to high-quality, mental health care with exciting updates for 2024.

The Benefits Specialist is responsible for the verification of member’s mental health insurance eligibility and benefits. Benefits Specialists verify and organize member insurance data and input it into databases for insurance reimbursement purposes.

As an RCM Benefits Specialist you will:

  • Maintain thorough knowledge of insurance carriers and the claim guidelines/requirements.
  • Verify member's insurance eligibility, benefits, and pre-cert requirements. This includes determining correct payors, networks, cost share, etc via insurance provider portals and/or calling insurance representatives.
  • Communicate effectively a member’s insurance eligibility and benefits to a member, provider, or coworker in an easy to understand way via phone, email, or secure message.
  • Communicate with insurance payors and their representatives via phone call, email, and secure messaging.
  • Update and maintain member’s demographics and insurance information in the EHR.
  • Process incoming insurance authorizations via fax, email, and phone call.
  • Audit members’ accounts for full accuracy, with a focus on member's insurance and eligibility.
  • Identifying and correcting claims issues in relation to a member's insurance eligibility and benefits.
  • Communicate effectively with other RCM team members and the operations team to resolve member billing issues.
  • Maintain knowledge of ICD9/ICD10 diagnostic as well as CPT/HCPC procedural coding.

What We're Looking For:

  • Possesses the ability to work in a startup environment that is rapidly evolving and changing.
  • Excellent organizational skills and ability to prioritize and coordinate workload with a high degree of proficiency and accuracy.
  • Excellent analytical and problem-solving skills.
  • Ability to work easily and cooperatively with other departments.
  • Ability to work independently and follow through on tasks without supervision.
  • Ability to work well under pressure in a flexible, diplomatic and expeditious manner.
  • Ability to multitask while maintaining accuracy with attention to details, policies and procedures.
  • Must have exceptional critical thinking skills.

What We Offer:

  • This is a full-time, position that pays $20.00 per hour
  • Comprehensive medical, dental and vision coverage
  • 2 weeks starting Paid time off “PTO” that grows with tenure
  • $50,000 employer provided basic life insurance
  • Employer provided short term & long term disability, up to 60% of your annual salary
  • Pet insurance
  • Student loan counseling services
  • Employee Assistance Program (EAP)

Thanks for your interest in working with Foresight

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Foresight is an equal opportunity employer. We’re committed to providing reasonable accommodations and will work with you to meet your needs. If you’re a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.