Charge Entry Coordinator

Posted 2 Days Ago
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East Cost Cities, NJ
Mid level
Healthtech • Telehealth
The Role
The Charge Entry Coordinator manages billing and collections activities, including insurance verification, claims submissions, and denial management for Forge Health's facilities.
Summary Generated by Built In

About Us:

Forge Health is a mission-driven outpatient mental health and substance use provider dedicated to providing the highest quality, affordable, and effective “one-stop-shop” care to individuals, families, and communities in need. As the first and only behavioral healthcare provider with a proven, national payer-validated ability to drive clinical outcomes that span all areas of health, Forge Health is leading the charge in driving innovation, improving care delivery, and shaping the future of behavioral health care.

For the third consecutive year, were thrilled to share that Forge Health has been recognized on the prestigious Inc. 5000 list of the fastest-growing private companies in America– a remarkable honor that is a testament to our team's relentless commitment to our mission. If you're passionate about building a great business that makes a difference and working alongside sharp, dedicated, and entrepreneurial individuals, then Forge Health is the right fit for you. Come join us!

Who we're looking for:

We are looking for a Charge Entry Coordinator to join our Revenue Cycle team! The Charge Entry Coordinator is a key member of our team and will assist in coordinating the billing and collection operations for Forge Health’s facilities across New York, New Jersey, Pennsylvania, New Hampshire and Massachusetts. You are responsible for working with the Manager, Revenue Cycle to ensure the following is completed in a timely manner: billing insurance companies for all billable procedures, pursuing collection of all claims until payment is made by insurance companies, and performing other work associated with the billing process (e.g. payment posting, denials). You will also perform critical billing functions including but not limited to eligibility verification and denial management to maximize revenue collections.

This position can be performed remotely.

What you'll be doing:

  • Performs insurance verification of benefits in a timely and efficient manner.
  • Obtains, tracks, and updates pre-certifications and authorizations per insurance carriers.
  • Prepares and submits clean claims electronically to various insurance carriers.
  • Monitor and correct clearing house and payer claims rejections.
  • Obtains, tracks, and updates pre-certifications and authorizations per insurance carriers.
  • Follow-up and resolves outstanding receivables utilizing remittance reports and/or explanation of benefits (EOBs).
  • Identify and resolve insurance claim denials and submits appeals.
  • Ensures patient statement are sent accurately and promptly.
  • Post insurance and patient patients based on daily deposits received.
  • Ensures strict confidentiality of personal client information and data.
  • Drafts and edits documents/communications, as needed.
  • Assists clinical staff in providing excellent customer service to all clients.
  • Any other duties as required by supervisor.

What you'll need:

  • 3+ years of billing and collections experience.
  • Preferred 2+ years of specific experience within the healthcare sector.
  • Bachelor’s degree required.
  • Extremely detail-oriented with excellent analytical, problem-solving, and organizational skills.
  • Ability to keep confidential medical records of patients.
  • Works well in groups as well as individually, with minimal supervision.
  • Flexible, adaptive, punctual, and highly reliable.

Why Forge?

The opportunity:

Our team refuses to compromise on integrity, and we look for talented, driven hard workers who hold the same passion for the pursuit of high quality, evidence-based mental health and substance use care that we do. Our collective passion is driven and embodied by our core values:

  • Fulfilling: Our work creates lives that are complete and self-actualized, enabling stronger families and communities – and a therapeutic community rewarded by success
  • Optimistic: Our passionate positivity and empathy overcome setbacks and get you to your goals, scientifically and humanely
  • Reciprocal: Without mutual trust and commitment, there can be no progress
  • Grateful: We profoundly recognize and appreciate the trust of our patients and the commitment of our clinicians
  • Evidence-Based: We are committed to measurable outcomes, which provide confidence to our patients and creates a standard of care for ourselves and others

The package:

At Forge, our people are our greatest asset. We’re collaborative, empathetic, and passionate. We learn from our mistakes, we carve out time to breathe, and we are celebrated for our wins. In short, we know that we can’t do what we do without you! So, we designed a comprehensive, competitive benefits package that reflects our appreciation of our people:

  • Competitive salary aligned with your experience
  • Comprehensive paid time off package
  • Annual time off to volunteer
  • Parental leave
  • Annual continuing education allocations
  • Competitive medical, dental, and vision package 
  • Annual subscription to a leading meditation app
  • An environment that fosters professional development including financing for advanced licensure and certifications
  • Internal supervision opportunities
  • Dedicated, motivated team and chance to be part of a highly ambitious medical startup
  • Modern, elegant, and high-end work environment

We are committed to equal employment opportunity. We give equal consideration to all applicants when filling positions without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, actual or perceived disability, genetic information, marital status, and/or any other status not related to an applicant’s ability to perform the job duties. All employment practices will be carried out in accordance with federal, state and local laws.
We will also fully comply with regulations and requirements set out by the Americans with Disabilities Act (ADA) and the ADA amendments Act (ADAAA). We will not discriminate against applicants or other individuals with real or perceived disabilities. When needed, we will provide reasonable accommodation to otherwise qualified candidates so that they are able to perform the essential functions of the position.

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The Company
HQ: New York, NY
135 Employees
On-site Workplace
Year Founded: 2016

What We Do

Forge Health provides proven in-person and telehealth outpatient treatment for mental health, substance use, and associated trauma. Our Forge VFR (veterans & first responders) program offers specialized care for veterans and first responders.

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