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Insurance Verification
Financial Clearance, Eligibility & Authorizations:
- Verify insurance eligibility and benefits, ensuring accurate coverage details are documented prior to services.
- Obtain and manage prior authorizations and referrals, ensuring payer requirements are met to support timely reimbursement.
- Ensure accurate and up-to-date payer and member insurance information is maintained in systems.
Member & Stakeholder Support:
- Support members in navigating employer-sponsored benefits, EAP programs, and insurance coverage.
- Respond to billing, eligibility, and coverage-related inquiries from members with clarity, accuracy, and empathy.
- Partner with internal teams to resolve eligibility and authorization issues.
Worklist & Operational Ownership:
- Own assigned worklists ensuring completion within established productivity, quality, and SLA expectations.
- Resolve claim denials due to eligibility or authorization related issues.
- Prioritize daily work effectively across competing deadlines.
Headspace
Headspace provides access to lifelong mental health support. They combine evidence-based content, clinical care, and innovative technology to help millions of members around the world get support that’s effective, personalized, and truly accessible whenever and wherever they need it.