Remote Rn Insurance Jobs in Nashville, TN (NOW HIRING)

Overview
Fast Pace Health strives to provide a best in class patient experience in every interaction. We are seeking a highly-skilled, experienced Behavioral Health Clinical Specialist (LPN or RN) to join our growing team. Our ideal candidate will be deeply committed to nurturing our Fast Pace mission of teamwork, communication, empowerment and quality care in a friendly and encouraging environment.
Fast Pace Health aims to push for a new vision of healthcare in rural communities that will consist of an array of different services. We are changing the delivery of healthcare in these rural areas by integrating excellent patient care, education, accessibility, and community service, in a way that puts the patient's needs first and improves the health status of our communities.
Why Choose Fast Pace Health?
Fast Pace Health is a growing company! You will have the support and mentoring you need to become the best Behavioral Health Clinical Specialist you can be! We will help you grow your clinical competencies, and can offer you a rewarding career path. We work as a dynamic team to surpass our business goals by ensuring our patients receive the best care possible in a positive environment.
We offer competitive compensation and benefits such as holiday pay, PTO, medical, dental, vision and Work-Life balance, to name a few.
As a Fast Pace Health employee you will have the opportunity to participate in community events and outreach programs. This includes, but is not limited to, seasonal parades, book drives, festivals, trunk or treating, fun runs, and more. We dress up for holidays and celebrate with pot lucks. At Fast Pace, our community is our family, and we are a family first community.
Responsibilities
The Behavioral Health Clinical Specialist (LPN or RN) position involves consistent, quality customer service to both internal staff members and external patients. The clinical specialist will serve in a dual role as both assisting the Care Coordinator and the Behavioral Health Call Center. He or she will actively be involved in patient care by providing a resource for patient questions, concerns, and case management. He or she will listen to the patients' requests and take appropriate action to respond, including communicating with providers about patient or medication concerns, communicating with the pharmacy to verify prescriptions or to call in refills, completing prior authorization forms, school medication forms, assisting with patient letters, and provide information to clinics who are referring to behavioral health services. The clinical specialist will also assist with referrals to other specialties, communicate with insurance if needed, communicate with local areas to investigate services to assist the patient needs, and assist with crisis management by communicating with the provider if hospitalization is needed. He or she will serve as a resource to ensure patients are scheduled for follow-up after hospitalization, investigates non-compliance, and assists with ways to increase compliance with visits and obtaining medication. In managing these requests, the clinical specialist will be asked to keep up with patient time spent for care coordination for billing and staffing with providers. As an additional team member of the call center, you will assist the call center specialists with scheduling of intake & follow-up appointments, assisting with online registration and check-in, assisting patients with use of technology to see providers, verifying insurance for eligibility for behavioral health services, input of patient insurance information in the system, creating chart for patient in prescription system, ensuring any intake triage orders are given to patient and scanned in the chart if applicable before the first appointment, and completing outside referrals from our behavioral health providers. The clinical specialists will consistently demonstrate proficient data entry skills, knowledge of insurance billing while maintaining confidentiality. It is essential that they demonstrate efforts to maintain and improve job-specific competencies, and perform other duties as assigned.
This is a fully remote role with flexible schedule options Monday-Friday 8am-7pm CST.
What You Will Do:

• Promote the five principles of Fast Pace: Communication, Teamwork, Empowerment, Quality of Care, and Friendliness.
• Answers and Coordinates phone calls
• Triage
• Appropriately Recording Telephone encounters via EHR system
• Communicate and staff with providers regarding patient concerns, refill requests, or medication issues
• Obtain Medical release as needed for patient requested forms
• Confirm appointments with patients
• Verify insurances
• Collect co-pays or fees for service
• Completing Prior Authorization and Override forms for medication approval
• Complete knowledge of EHR including updating pharmacy information for patients
• Faxing info from EHR
• Obtain and Scan required documents into EHR
• Knowledge of registering a new patient
• Update patient information
• Print profiles, schedules, and recall lists
• Place patients on the recall list, take patients off and attach appointments
• Patient and provider schedules
• Respond appropriately to agitated patients
• Review schedules to ensure accuracy and fill appointment opportunities
• Responsible for learning the aspects of compliance in the company by completing all mandatory compliance training.

Experience Requirements and Preferences
Education: Degree as a Licensed Practical Nurse (LPN) or Registered Nurse (RN)
AND
Experience:

• At least 1 year of healthcare experience as a LPN or RN is required
• Experience in behavioral health setting preferred
• Electronic appointment scheduling experience preferred
• Strong customer service experience
• Excellent Verbal communication skills
• Proven ability to Multi-Task
• Problem Solving and critical thinking skills a plus

Education Requirements
High School Diploma or Its Equivalent
Compliance
Fast Pace Health is committed to the principle of equal employment and creating an inclusive environment for the benefit of our employees, our patients, and our communities. We are an equal opportunity employer and welcome job applications from qualified individuals without regard to race, creed, color, ancestry, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, veteran status, marital status, parental status, genetic information or any other legally protected characteristics or conduct.
Please refer to the links below for information regarding your rights under certain federal laws:
https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/fmlaen.pdf
https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf
Mississippi Residents Only:
In Mississippi, Fast Pace requires pre-employment/drug/alcohol testing as a condition of employment. The law requires that Fast Pace notify applicants, in writing, upon application and prior to the collection of the specimen for drug and alcohol test, that they may be tested for "the presence of drugs [or alcohol] in their metabolites." Miss. Code. Ann. § 71-7-3(5).
Applicants are limited to individuals from states, excluding the following: California, Colorado, Hawaii, Illinois, New Jersey, New York, Rhode Island, Washington, and the District of Columbia.