Mindpath Health
Patient Financial Clearance Representative
About this role
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