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Patient Financial Coordinator
Behavioral Health Group
2021-12-03 09:01:57
Washington,
District of Columbia,
United States
Job type: fulltime
Job industry: Banking & Financial Services
Job description
Patient Financial Coordinator
Who We Are
We are a team that is focused on patient care and quality. Behavioral Health Group (BHG), is a leading provider of opioid addiction treatment services. BHG provides medication assisted treatment and counseling services in a conventional outpatient setting. At BHG, we are committed to the belief that addiction is a brain disease, not a moral failing. We believe that with hope, respect, and caring, real recovery is possible.
Why work at BHG?
We grow better together! At BHG we believe in investing in our team members and growing careers through role-based training and promotional opportunities. Join our team members and thrive in our people first culture that is rooted in diversity and inclusion and offers many other tangible opportunities such as:
- Benefits: Your choice of three different benefits programs including health, life, vision, and dental insurance, a tuition reimbursement program, and a competitive 401K match incentive
- Bonuses: We offer competitive pay, annual increases and bonuses for retention and certification/license completion
- Paid Time Off: In addition to paid vacation and company holidays, BHG also provides paid time for training, voting, sick or personal time off
- Work/life Balance: Many of our locations offer flexible work schedules
- Additional Benefits: Employee Discount Programs to applicable cell phone services, restaurants, amusement parks, movie theaters and more
- Career Pathing: We are growing and promote from within
- Self-Care: We offer a self-care series as well as an Employee Assistance Program
BHG is the largest network of Joint Commission accredited outpatient opioid treatment and recovery centers operating almost 80 locations in 17 states, and counting. Please ensure you check out our open opportunities in other locations/states as we offer relocation assistance to help support your career.
Responsibilities
- Validates that each patient is currently eligible and currently authorized
- Communicates status of eligibility and authorization on each patient to the local Treatment Center Program Director or his/her designee
- Checks Eligibility weekly and monthly using WayStar or Payer Websites
- Trains and audits Front Desk, Office Managers and new PFC's on 3rd Party responsibilities
- Works directly with Front Desk and Office Managers to train and roll out new Payer Contracts
- Audit 3rd Party tasks performed by Front Desk and Office Managers
- Reviews Insured Patient Balances- weekly/monthly and determines if patient qualifies for financial assistance using the Patient Financial Hardship Policy.
- Assists the Front Desk, Office Manager or Program Director when communication to the patient is necessary to discuss financial responsibility to the patient, including the requirement to pay cash (self-pay) at point of service until 3rd party payer is authorized, and eligibility is verified
- If eligibility is nullified at any point during the month, immediately notifies the patient that they are on a self-pay status until eligibility is reinstated; also notifies the Treatment Center Program Director or designee in a timely manner
- Completes and thoroughly documents all client accounts with the approved or denied Authorization; clearly communicates the information to front desk staff and patients
- Tracks Authorization thresholds on all Government and Commercial client accounts
- Works with Treatment Center Program Director or designee on prior- authorization submissions prior to the expiration date and ensures that there are no lapses in coverage and that billing returns are maximized for all patients
- Assists in identifying and analyzing patterns of authorization denials and identifying corrective actions or training needs of clinical staff
- Provides clinical staff with timely support and troubleshooting to ensure documentation supports clean authorization submission
- Works closely with and supports his/her Regional Director in identifying and trouble- shooting issues in a timely manner and promptly escalating any issues for resolution (no surprises and no lingering issues)
- Works closely with RCM Leadership and supports his/her RCM Billing Specialist in identifying and trouble- shooting issues in a timely manner and promptly escalating any issues for resolution (no surprises and no lingering issues)
- Provides benefits assistance to clinical staff regarding patients' outstanding bills and current fees
- Work directly with Patients to assist/qualify when signing up for Medicaid and Grants as needed
- Performs other duties assigned by Regional Director
- Able to travel as needed
GREAT Opportunities - Our Team Members are motivated self-starter's who excel in a fast-paced environment and become a valued member of our team.
GREAT People - Our staff has a passion to be the best, sharing a strong work ethic and dedication to providing the gold standard of patient care.
GREAT Support - We are committed to providing the training, information, and corporate support necessary to facilitate your success.
BHG is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.