Insurance Operations Specialist - Hybrid Langhorne

About Blackbird

At Blackbird, we envision a world where every child receives the care and support they need to thrive—emotionally, socially, and developmentally. That’s why we're transforming how pediatric mental health is assessed and treated, so we can make world-class care available in local communities.

Our whole-child diagnostic approach reveals the full story behind each child’s challenges, allowing us to address both the symptoms and their underlying causes. This leads to precise treatment sequenced in the right way to achieve meaningful outcomes that last.

Currently, we provide virtual and in-person mental health services, including comprehensive evaluations, medication- management and therapy, across Pennsylvania and Virginia with plans to expand to new markets in 2025. 

Position Summary

The Insurance Operations Specialist is responsible for verifying insurance coverage, eligibility, and benefits for new and existing patients while ensuring compliance with payer guidelines. This role also manages pre-authorizations, resolves insurance-related issues, and serves as a key point of contact for insurance inquiries to support seamless patient care.

This role is hybrid, requiring up to three days a week in person in Langhorne PA and the remaining days can be done remotely. 

What makes you, you:

• Provide exceptional customer service by actively listening to patients, addressing their concerns, and offering solutions to meet their needs.
• Ability to maintain confidentiality according to HIPAA regulations
• Knowledge of medical billing and insurance terminology 
• Outstanding communication skills and ability to collaborate effectively with patients, provider partners and colleagues
• Open to professional and clinical feedback and interested in working in a supporting and collegial environment.
• Flexibility to adjust to a dynamic work environment.
• Must value operating in a collaborative and cooperative environment.
• Ability to show initiative, good judgment, and resourcefulness.

How you’ll make an impact:

• Verify insurance coverage, eligibility, and benefits for all new and existing patients, ensuring accuracy and compliance with payer guidelines.
• Call insurance companies directly to confirm patient coverage and benefits and resolve issues related to pre-authorizations, referrals, and claims.
• Serve as a point of contact for patients with questions about their insurance coverage, copays, and billing inquiries, including via Luma
• Field inbound calls from prospective and existing patients, ensuring their questions are answered efficiently and timely.
• Manage and track pre-authorizations for clinical services, ensuring they are submitted, approved, and updated in a timely manner.
• Support patients and other Blackbird departments to help ensure continuity of care 
• Verify and schedule specialty evaluations as necessary.
• Attend team meetings to support organizational success and participate in ongoing training required by the organization to enhance clinical skills and ensure high-quality services are delivered.
• Ability to meet quality and efficiency benchmarks
• Perform other duties and projects as assigned by management.
• Receive and distribute incoming mail and packages. Upload and organize mail and documents as necessary from the Langhorne Office
• Restock office supplies and ensure the workspace is fully equipped.
• Tidy up toys and ensure the Langhorne office is well-maintained for visitors and patients.
• Hybrid work model. In office up to 3 days per week, remaining work hours can be managed remotely

What makes Blackbird unique:

• Hybrid work model
• Excellent administrative support is provided
• Explore your career advancement potential by receiving opportunities to grow with tenure
• Supportive work culture
• Blackbird Health is made up of intelligent, humble, compassionate and hardworking people. Joining the ranks means you'll have an automatic network to turn to for best practices, professional development, and opportunities to share your expertise

The basics you’ll need:

• 2-4 years’ health care billing experience working with insurance companies and EHR/PM Systems such as Athena, EPIC, ECW, etc.
• 1-3 years’ experience in customer service setting 
• Worked in a behavior health setting previously (preferred not required)

Benefits:

• Medical, Dental & Vision coverage
• 401K (with a company match)
• Employer-paid life insurance coverage
• Generous paid time off
• Opportunities for career growth
• Diverse and experienced leadership team with a supportive work culture

Join Us!

We envision a world where every young person is fully understood and receives support building the tools they need to thrive. Join our team, make an impact, a real difference for patients, parents and caregivers.

“We wouldn't have a son without Blackbird Health. He would have ended his life.”

“It's so rare to find comprehensive care like this---from testing to therapy to med management (and more)--all in one place. In addition, the school advocacy support we receive is unprecedented. We no longer feel like we are managing things alone.”

FOSTERING AN INCLUSIVE ENVIRONMENT: 

Blackbird is committed to cultivating and preserving a culture of inclusion and belonging. We are able to grow and learn better together with a diverse team of employees. In recruiting for our team, we welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran status, color, religion, disability, sexual orientation and beliefs. Blackbird provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type.