Job Summary: Position is responsible for collecting patient financial information in order to determine financial responsibility and grant eligibility for services. The duties include but are not limited to the follow-up of accounts financial information, collections of outstanding balances, and monthly reporting.

Essential Responsibilities:

Collect and verify insurance information (Medicaid, Medicare, Managed Care, commercial plans) during initial intake and re-enrollment

• Review and update patient demographics and payer information as necessary for completion of claims payment
• Screen clients for financial hardship, sliding-fee eligibility, and program-specific funding requirements
• Explain financial obligations, copays, deductibles, and self-pay expectations in a clear manner
• Ensure financial and insurance information is complete, accurate, and entered correctly into the electronic health record
• Coordinate with care managers and behavioral health admin staff to support timely access to programs and services
• Verify behavioral health, covered services, and authorization requirements
• Assist with prior authorization requests
• Communicate coverage limitations to Behavioral Health services
• Confirm payer eligibility and effective dates at intake and ongoing as required
• Prepare monthly client and insurance billing and mail bills
• Record cash receipts items (payments) into the Electronic Health Record system
• Effectively following up on any unpaid balances
• Meet quality assurance and productivity standards by identifying and reconciling insurance balance accounts
• Process credit card payments for client accounts
• Communicate effectively all financial eligibility information to clients and respective departments
• Communicate with insurance payer representatives, patients, and center staff to ensure timely and accurate resolution of account transactions
• Prioritize assigned accounts to maximize aged accounts receivable resolution
• Review explanation of benefit (EOB) documentation and notate accounts on collection activity to perfom account resolution
• Receive inbound client calls regarding financial responsibility
• Follow-up on open balances listed on monthly AR and Payer Follow-up reports
• Other Responsibilities as assigned.
• Essential Training

Qualifications:

• High school diploma or GED
• 2-3 years accounts receivable experience
• Experience in behavioral health billing preferred
• Comfort working in a flexible, fast paced work environment
• A disciplined approach to daily activity planning, setting goals, and achieving success
• Must be able to prioritize and work independently
• Ability to complete projects within a reasonable time frame
• Understanding of the revenue cycle process and how it relates to payers and clients
• Excellent written and oral communication skills