Patient Financial Clearance Representative

 Posted 3 hours ago
     
 $18 - $20 per hour
  
2-5 years experience
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AI Summary

The representative is responsible for investigating mental health benefits, verifying insurance eligibility, and obtaining necessary authorizations. They also communicate cost estimates to patients and counsel them on their financial options.

Overview

Make a Difference. Grow in Your Career. Thrive with Us.

About the Role

 

At Mindpath Health, we’re on a mission to make mental health care more accessible and more human. As a national leader in mental health services, we empower our clinicians, support our teams, and prioritize care that helps people truly thrive.

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.

 

This is a fully remote (based in TX, NC, SC, or FL), full-time role (40 hours/week, Monday–Friday).

Responsibilities

What You’ll Do

  • 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
  • Contact 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

What You’ll Bring

  • Call Center experience strongly preferred
  • 2+ years of 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)

CompensationThe pay range for this position is $18-$20 per hour.

 

Why Join Mindpath Health?

When you join our team, you’re not just accepting a job, you’re stepping into a community built on support, inclusion, and growth.

 

Benefits & Perks

  • Medical, Dental, and Vision coverage
  • Employee Assistance Program (EAP)
  • Life & Long-Term Disability Insurance
  • 401(k) with employer match
  • Paid time off starting at 15 days per year
  • Paid parental leave
  • Tuition reimbursement

About Us

Mindpath Health is redefining how mental health care is delivered. Today, we operate across six states, providing a full range of psychiatric and therapy services via in-person and telehealth appointments. Our team is deeply committed to supporting total health through compassionate, collaborative care.

 

If you're looking for a purpose-driven organization where your work truly matters, we’d love to meet you.

 

Mindpath Health is proud to be an equal opportunity employer. We value diversity and are committed to creating an inclusive environment for all employees.

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