Self Pay Associate

Company: Charlie Health Behavioral Health Operations
Location: Nashville
Posted on: April 1, 2026

Job Description:

Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we’re expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that’s redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we’d love to meet you. About the Role At Charlie Health, we take great care in estimating out-of-pocket costs associated with the care we deliver and one of our top priorities is to minimize costs to our patients and their families. This role is an important piece of this process as this person will be the direct line of communication regarding outstanding balances for care received. It’s important that people in this role have great attention to financial account details and care for our patients as much as we do. Our team is comprised of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way. Responsibilities Manage patient balances ensuing account is clean and ready for self-pay collections post all insurance processes are completed Work closely with admissions teams to understand patient responsibility and expectations of collections are in line with financial agreements Initiate collection calls to patients or their families to collect outstanding balances Handle large volume of inbound calls regarding outstanding balances and invoices Arranging payments, or setting up payment plans, of outstanding balances Provide daily/weekly updates to leadership on collections status Manage large volumes of patient accounts each week Processing invoice and credit requests in accordance with collections guidelines Timely response to inquiries received from other departments associated with patients care Navigate and gather data from various internal sources to ensure proper balances collected Works closely with all departments in the revenue cycle to ensure balances are correct and ready for collections to take place Investigate escalated insurance billing inquiries and inaccuracies and take appropriate action to resolve the account Requirements Able to work a hybrid schedule of 4 days/week in our Nashville office and located within 75 minutes' commuting distance of the office Knowledge of medical billing practices, office policies and procedures Understanding of “No Surprises Collections Act” Knowledge of all confidentially requirements regarding patients and strict maintenance of proper confidentiality on all such information Mathematics skills Excellent written and verbal communication skills Organizational skills Strict attention to details 2 years related work experience in health care administrative, financial, insurance, customer services, claims, billing, call center, or management Benefits Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota. Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here . LI-HYBRID Our Values Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don’t give up. Please do not call our public clinical admissions line in regard to this or any other job posting. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: https://www.charliehealth.com/careers/current-openings. Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By clicking "Submit application" below, you agree to Charlie Health's and Terms of Service. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

Keywords: Charlie Health Behavioral Health Operations, Clarksville , Self Pay Associate, Administration, Clerical , Nashville, Tennessee