Temporary- Insurance and Outreach Coordinator

Our mission at ReACT FND Health is to make Retraining and Control Therapy (ReACT) for Functional Neurological Disorder (FND) accessible. FND is one of the most common diagnoses in outpatient neurology clinics, yet access to evidence-based treatment for FND is incredibly limited. ReACT is a novel behavioral health treatment for FND that uses the ReACT Precision Treatment Tool, an innovative psychologist-centered digital platform that helps provide precision treatment tailored to each individual patient. To work at ReACT FND Health, we want you to be as passionate as we are about our work and excited to partner with us to achieve our mission of bringing quality mental healthcare to all individuals with FND.

About the Company

ReACT FND Health is a clinical quality-led telebehavioral healthcare company focused on making quality behavioral health accessible and affordable to millions in need through a HIPAA-compliant web and mobile platform.

Responsibilities

• Insurance
  • Enter and maintain accurate patient insurance information in the practice management system.
  • Verify new patient insurance eligibility and behavioral health benefits through insurance portals or by contacting the insurance provider by telephone.
  • Enter and maintain insurance information and supporting documentation in the system as needed.
  • Contact patients to explain verified behavioral health benefits, including applicable patient responsibility information.
  • Serve as a point of contact for EAP clients and programs and work with companies regarding EAP services.
  • Investigate claim denials or payment issues related to changes in insurance coverage and contact patients regarding identified coverage changes.
  • Complete and submit network exceptions, single case agreements, and gap exception paperwork.
  • File appeals as needed for denials.
  • Assist with insurance credentialing, enrollment, and recredentialing activities for providers.
  • Assist with day-of-appointment insurance eligibility verification.
  • Maintain accurate documentation of insurance verification activities and communications.
  • Escalate issues to Director of Clinical Operations as needed.
• Billing
  • Post payments and remittance information received from insurance payers accurately and timely.
  • Work accounts receivable and billing reports to investigate claims that have not been paid.
  • Assist with follow-up on unpaid, rejected, or denied claims and related payment issues.
  • Assist with billing reconciliation and other payment-related administrative activities as directed.
• General
  • Administer patient outreach follow-up workflow each workday.
  • Assist with entering and processing patient intake packets and related information.
  • Answer and appropriately route calls received through the practice telephone system.
  • Provide routine administrative support related to scheduling, insurance, billing, and intake processes.
  • Maintain accurate and organized patient and administrative records.
  • Protect patient confidentiality and handle protected health information in accordance with HIPAA, organizational policies, and applicable privacy requirements.
  • Communicate professionally and courteously with patients, providers, insurance representatives, EAP contacts, and ReACT FND Health team members.
  • Multitask, manage competing priorities, and maintain accuracy and attention to detail.
  • Work independently and communicate promptly with supervisors regarding issues requiring escalation.
  • Perform other duties as assigned.

Requirements

• Associate degree in business, medical assisting, health information management, healthcare administration, or a related field preferred.
• Experience in a medical, behavioral health, healthcare billing, or healthcare administrative setting preferred.
• Must successfully complete HIPAA training.
• Experience with insurance eligibility and benefit verification preferred.
• Computer proficiency and experience working with databases, electronic health records, or practice management systems.
• Ability to learn and effectively use insurance payer portals and other web-based systems.
• Strong organizational, time-management, written communication, and verbal communication skills.
• Ability to maintain confidentiality and appropriately handle sensitive patient and business information.
• Ability to work independently, take initiative, and remain self-motivated.
• Ability to multitask and adjust priorities based on operational needs.

Preferred Experience

• Behavioral health or mental health insurance benefits.
• Insurance claim follow-up and denial resolution.
• Provider credentialing or payer enrollment.
• Employee Assistance Program (EAP) coordination.
• TheraNest or a comparable electronic health record/practice management platform.

Schedule

Expected hours: 10-20 hours per week. Must be available to answer patient questions within business hours 8am – 5pm Central Time.

Pay

Pay rate: $20-$30 per hour.

Location

Remote, must be based in the US. Please note, due to local laws, this position is NOT open to work from the following locations: Washington state (Burien, Everett, King County (Unincorporated), Renton, SeaTac, Seattle, Tukwila) and California (Emeryville, CA).

This is a 1099 temporary contract position intended to support temporary operational and administrative needs of ReACT FND Health. The anticipated duration, work schedule, hourly compensation, and any opportunity for extension will be communicated separately by ReACT FND Health.