Role Overview:

The Operations Specialist will play a key role in supporting the administrative functions of our mental health practice partners. This individual will be responsible for navigating insurance coverage processes, helping families connect with the right care for their children, managing data in electronic health records (EHR) systems, and ensuring that insurance approvals, eligibility checks, and authorizations are processed smoothly and efficiently.

Key Responsibilities:

• Insurance Navigation: Provide general information on insurance coverage and mental health care procedures, ensuring families understand their benefits and options.
• Patient Care Coordination: Assist families in navigating the care process for their children's mental health needs, connecting them with appropriate resources and services.
• Data Entry and Management: Meticulously enter and manage patient and insurance information within the EHR system, ensuring all data is accurate and up-to-date.
• Insurance Approval Process: Perform essential tasks related to insurance approval, including checking eligibility, obtaining authorizations, and ensuring all requirements are met.
• Data Management & Analysis: Manage large amounts of data with accuracy and efficiency. Must be proficient in Excel, including pivot tables, to analyze and present data in a clear format.
• Collaboration: Liaise between medical staff, insurance providers, and families to streamline operations and ensure smooth administrative processes.
• Technology Proficiency: Operate within the EHR system and other digital tools effectively, with an ability to troubleshoot minor issues and adapt quickly to new systems or updates.

Qualifications:

• Education: Bachelor’s degree preferred; Associate’s degree considered. Equivalent substantial experience in healthcare administration may also be considered.
• Experience: Minimum of 3 years of direct experience in an operations or administrative role in a healthcare setting, preferably in a mental health practice or outpatient facility.
• Bilingual: Must be 100% bilingual, with a minimum B2 or C1 level of English proficiency.
• Insurance Knowledge: Strong understanding of insurance procedures, including eligibility checks, authorizations, and coverage navigation.
• Tech-Savvy: Proficient in Microsoft Excel (including pivot tables) and comfortable managing large datasets.
• EHR Experience: Prior experience working with EHR systems is required.
• US-Based Healthcare Experience: Experience working with US-based companies and familiarity with US healthcare systems is a plus.
• Additional Skills: Experience with SQL or Python is a plus but not required.

Professional Qualities:

• Strong organizational and multitasking skills, with attention to detail.
• Excellent communication and interpersonal skills, with a passion for helping families.
• Ability to work independently and as part of a team in a fast-paced environment.
• Comfortable working in a digital, tech-driven healthcare environment.
• Ability to work under pressure and meet tight deadlines.