Ophelia · 3 hours ago
Financial Counselor (Insurance Verification & Eligibility)
United States
Full-time
Remote
Entry, Mid Level
$50K/yr - $60K/yr
2+ years expOphelia is a healthcare startup focused on making evidence-based treatments for opioid use disorder accessible. The Financial Counselor will support patients by coordinating reimbursement sources, verifying insurance coverage, and ensuring clear communication regarding financial responsibilities.
Health CareHome Health CarePharmaceuticalTherapeutics
Responsibilities
Verify insurance eligibility using payer websites and online tools; ensure 100% accuracy of coverage details prior to and during treatment
Clearly explain copays, deductibles, coinsurance, and out-of-pocket responsibilities to patients in a calm, compassionate manner
Confidently lead difficult conversations and resolve escalated patient financial concerns with empathy and professionalism
Accurately document all demographic and financial information to support clean claims and minimize downstream denials
Identify patient financial needs, establish payment plans according to Ophelia’s policies, and negotiate payment arrangements when necessary
Partner with the billing and revenue cycle teams to improve processes and provide feedback on insurance trends
Qualification
Required
2–4 years of healthcare financial counseling or benefits verification experience
Highly proficient in navigating insurance portals, payer websites, and online eligibility tools
You have a knack for making complex insurance rules easy for anyone to understand
You have a working knowledge of the full revenue cycle and understand how benefit errors lead to claim denials
You are adaptable, comfortable working across multiple systems (Google Workspace), and thrive in a growing, fast-paced environment
You are a stickler for accuracy and can prioritize a high volume of tasks without losing focus
Benefits
Remote work anywhere in the United States
Competitive medical, vision, and health insurance (many plans are fully covered for the employee!)
Start with 20 days (4 weeks) of PTO, increasing to 5 weeks after 2 years and 6 weeks after 5 years of tenure
One-time Work From Home Stipend
10 company holidays
401k Contribution Platform
Additional benefits offered through our benefits provider such as life insurance, short and long term disability, financial wellness, virtual primary care, among others!
Company
Ophelia
Ophelia offers medication and support for quitting opioids.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$67.7MKey Investors
Tiger Global ManagementMenlo Ventures
2021-12-14Series B· $50M
2021-04-22Series A· $15M
2020-05-12Seed· $2.7M
Leadership Team
Zack Gray
Co-Founder & CEO
Lon Binder
Chief Technology Officer
Recent News
MenloVentures
2025-12-31
Behavioral Health Business
2025-01-16
Modern Healthcare
2025-01-16
Company data provided by crunchbase