What are the responsibilities and job description for the Patient Financial Counselor position at Belmont Behavioral Health System?
Belmont Behavioral Hospital is a premiere provider of comprehensive treatment for mental health conditions and substance abuse problems. Having been in operation for over 75 years as one of the most prominent providers of behavioral healthcare treatment services, Belmont is proud to offer high quality and specialized programming options for children, adolescents, adults, and older adults who are suffering from psychiatric concerns and chemical dependency.
Belmont Behavioral Hospital currently has an opening for a Full time, Patient Financial Counselor.
The Business Office Patient Financial Counselor is responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections.
The Business Office Patient Financial Counselor will:
- Responsible for auditing the admission packets and for the verification of benefits along with all patient demographic information in the patient accounting system.
- Financial counseling of patients and/or guarantors and collecting any out of pocket (deductibles, copays, exhausted days, etc). Provide information to the patient and/or guarantors regarding their benefits and financial obligations.
- Completing financial disclosure paperwork for patients that request assistance including verifying income and expenses.
- Complete adjustment forms for any charity or administrative adjustments for approval.
- Complete promissory notes for patients that request payment arrangements.
- Update on a daily basis the upfront collection log, charity log, and admin adjustment log. Review with Business Office Director on a weekly basis.
- Gathers and interprets data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
Billing and Collection Specialist Duties:
- Call and status outstanding claims with third party payors.
- Review claims issues and make corrections as needed and rebill.
- Utilize claims clearing house to review and correct claims. Resubmit electronically when available.
- Review explanation of benefits to ascertain that claim processed and paid correctly.
- Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
- Manage daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 30-40 accounts worked per day minimum.
- Prorate patient accounts and monitor that balance due is in the correct financial class.
- Report an overview of the week to the BOD and participate in AR meetings.
- Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
- Assist financial counselors as needed.
- Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.
The ideal candidate will have:
High school diploma or equivalent required. Must have at least 3 years' experience in related field. Must have extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid.
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
Work Location: In person