Grow Therapy
Eligibility Specialist
Job Description
About us:
Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Following the mass increase in depression and anxiety, the need for accessibility is more important than ever. To make our vision for mental healthcare a reality, we’re building a team of entrepreneurs and mission-driven go-getters. Since launching in February 2021, we’ve empowered more than ten thousand therapists and hundreds of thousands of clients across the country and insurance landscape. We’ve raised more than $178mm of funding from Sequoia Capital, Transformation Capital, TCV, SignalFire, and others.
We’re looking for an experienced Eligibility Specialist who is passionate about improving the landscape for mental healthcare. This position will help directly improve our Pre-Service operations and expand access to care. You will be responsible for all aspects of our eligibility processes to ensure client coverage is verified prior to care. You will report directly to a Team Lead on our Eligibility team to streamline eligibility workflows, identify opportunities for improved processes, and ensure care is covered prior to service. You will also work closely with our Customer Support teams to assist with provider or client questions related to eligibility. From day one, you’ll get exposure to what it’s like to build a business from the ground-up and you’ll be able to drive real impact.
What You’ll Be Doing:
- Utilize clearinghouses like Availity and Claim MD, along with payer portals, to verify patient eligibility and benefits, ensuring accurate claims submission.
- Investigate and resolve eligibility-related denials by researching coverage details and correcting discrepancies.
- Complete outbound calls to insurance carrier representatives and supervisors to investigate denial reasons.
- Resubmit claims with errors, utilizing knowledge of CMS 1500 forms and a broad understanding of data, coding, and policy errors.
- Draft appeals for relevant claim denials, adhering to medical policies for all insurance carriers
- Ensure patient data in software is correct and most up to date, contacting the appropriate person for any inconsistencies.
- Prioritize workflows based on age of claims.
The salary range for this position is $73,103.00 - $90,250.00 USD.
You’ll Be a Good Fit If:
- Process-Driven: Highly organized, operational thinker, rarely leaving questions unanswered.
- Adaptable: You are comfortable in a fast-paced environment, with priorities changing weekly.
- Healthcare Experienced: Strong understanding of healthcare claims, plan benefits, and patient responsibilities. At least 2 years of experience in Medical Billing or Healthcare setting.
- Team Player: You are collaborative by nature, relish in camaraderie and group wins, and are looked to by colleagues or direct reports as a steadfast partner & source of encouragement
If you don’t meet every single requirement, but are still interested in the job, please apply. Nobody checks every box, and Grow believes the perfect candidate is more than just a resume.
Note: Please upload your resume in PDF format
We use Covey as part of our hiring and / or promotional process for jobs in NYC and certain features may qualify it as an AEDT. As part of the evaluation process we provide Covey with job requirements and candidate submitted applications. We began using Covey Scout for Inbound on January 11, 2025.
Please see the independent bias audit report covering our use of Covey here.
Benefits
- The chance to drive impact within the mental healthcare landscape from day one
- Comprehensive health insurance plans, including dental and vision
- Our dedication to mental health guides our culture. Wellness benefits include (but are not limited to):
- Flexible working hours
- Flexible Time Off
- Company-wide winter break
- Mental health mornings (2 hours each week)
- Wellness Stipend
- In-office meals and snacks
- Continuous learning opportunities
- Competitive salary
- The opportunity to help build a rapidly scaling start-up organization by taking strong ownership of your work, mentorship, and our unbounded leadership opportunities
Grow Therapy is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.
As part of our recruitment process, we use a third-party AI tool (Covey) to assist in the initial screening of resumes and applications. This tool analyzes candidates' qualifications based on the information provided in the application to identify potential matches. Certain features may qualify the tool as an AEDT (automated employment decision tool) under New York City Local Law, and may be considered an AI tool under other applicable state and city laws. As part of the evaluation process we provide Covey with job requirements and candidate submitted applications. Final hiring decisions are made by our human recruitment team, and no automated system makes the ultimate decision regarding hiring. We began using Covey Scout for Inbound on January 11, 2025. The independent bias audit report covering our use of Covey here.
By submitting your application, you acknowledge and consent to the use of automated tools in our recruitment process. You also understand that your application may be processed by AI systems as part of the screening and selection process.
We are committed to ensuring transparency in our hiring practices. If you have any questions about how our AI tools work, or if you would like to request additional information, please contact [email protected] you require an accommodation due to a disability, or if you have concerns regarding the use of AI in our hiring process, please contact [email protected]. We will be happy to provide assistance or discuss alternative methods for participating in our recruitment process.
Grow Therapy
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