Medical Coding AR Specialist

 

Why Charlie Health?

Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.

Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we’re expanding access to meaningful care and driving better outcomes from the comfort of home.

As a rapidly growing organization, we're reaching more communities every day and building a team that’s redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we’d love to meet you.

About the Role

This role is responsible for overseeing and managing the verification of benefits process ensuring efficient, accurate policy reviews and effectively handling referral complexities. Obtaining accurate benefits is the first step in the financial process meaning accuracy is key as it determines patient responsibility and our ability to get reimbursed for services. 

Our team is composed of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way.

Responsibilities

Medical Coding:

• Review clinical documents and patient records to determine accurate medical codes (CPT, ICD-10, HCPCS) for diagnoses, treatments, and procedures.
• Assign appropriate codes based on clinical information to ensure compliance with insurance requirements and healthcare regulations.
• Ensure coding meets payer policies, including Medicaid, and commercial payers, and adheres to current coding guidelines.
• Stay up to date with changes in coding guidelines, regulations, and payer policies to ensure accuracy and compliance.
• Collaborate with healthcare providers and clinical staff to clarify documentation, ensuring accuracy and completeness.

Accounts Receivable (AR) Management:

• Manage the full accounts receivable cycle, including timely submission of claims, follow-up on unpaid denied claims, and resolution of payment issues.
• Review EOBs (Explanation of Benefits), reviewing contracts, researching payer updates and payer remittances when necessary to identify and resolve discrepancies, denials, or underpayments.
• Work with insurance companies, and internal departments to resolve any outstanding balances and ensure accurate and prompt payment.
• Maintain accurate AR records and provide regular reports on the status of outstanding accounts.

Requirements

• Highschool diploma or equivalent required
• Certification in Medical Coding (CPC, CCS, or equivalent) is required.
• At least 2-3 years of experience in medical coding and accounts receivable management.
• Knowledge of ICD-10, CPT, and HCPCS coding systems and healthcare billing practices.
• Familiarity with insurance verification, claims submission, and denials management.
• Strong attention to detail and excellent analytical and problem-solving skills.
• Good communication skills, both written and verbal, with the ability to interact effectively with patients, insurance companies, and internal teams.
• Proficient in using medical billing software and Microsoft Office applications.
• Experience with electronic health records (EHR) systems.
• Knowledge of healthcare regulations, payer policies, and coding updates.
• Ability to handle multiple priorities and meet deadlines in a fast-paced environment

Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.#LI-HYBRID

Our Values

• Connection: Care deeply & inspire hope.
• Congruence: Stay curious & heed the evidence.
• Commitment: Act with urgency & don’t give up.

Please do not call our public clinical admissions line in regard to this or any