Patient Accounts Specialist

Job Description

Job Description

THE ORGANIZATION 

  Ashley Addiction Treatment Center was founded in 1983 by two visionaries who knew the treatment of drug or alcohol addiction could be designed and effectively delivered in a holistic manner that compassionately considers the whole person and not just the disease. Innovative then, and innovative now, Ashley passionately continues its core mission “To transform and save human lives by integrating the science of medicine, the art of therapy, and the compassion of spirituality.” Organizationally strong, the organization rigorously adheres to its guiding principles, ethics, and a culture of excellence.

POSITION SUMMARY

Maintains patient financial accounts during the course of a patient’s treatment at Ashley. Monitors account activity and notify patients of insurance coverage changes. Consistently communicates with patients and fellow Ashley staff to ensure all parties are well informed of account details and insurance authorizations.

 

KEY RESPONSIBILITIES 

• Prepares patients financial chart for the billing/accounts receivable department. Enters charges and adjustments when necessary. 
• Ensures that new patient paperwork and financial consents are prepared and signed by the necessary parties. Confirms the financial guarantor is clearly defined.
• Meets with patients in a timely manner to discuss account details and insurance coverage changes. Maintains contact with guarantors during the course of treatment regarding managed care review status and finances. 
• Completes patient paperwork, including physical therapy forms and insurance appeal forms. 
• Monitors, reviews and communicates with patients regarding prescription billing and medication fees, acting as a liaison between the patient and contracted pharmacy. Collects pharmacy charges at time of discharge. 
• Discusses Vivitrol insurance coverage and completes necessary order forms. Coordinates orders with Nursing and Medical team; confirms Vivitrol shipments. Manages the Vivitrol Source Guide. 
• Calculates accurate co-pay and direct pay account balance information. Informs patients and guarantors of balance information and collects payments prior to patient discharge.
• Prepares and batches daily deposit of patient payments.
• Provides counseling staff with patient financial information. Identifies and documents financial concerns early in treatment.
• Communicates with Utilization Review Department and counseling staff to maintain database of utilization review chart and discharge calendar.
• Prepares and maintains monthly reports, notifying management of unfavorable trends. 

 

In addition to role responsibilities, each staff member of Ashley, Inc. has the following responsibilities as a part of their employment:

• Models and reinforces Ashley’s mission and core values
• Performs other duties on an as-needed basis
• Reinforces Ashley’s commitment to diversity, equity and inclusion 
• Protects the privacy of our patient’s protected health information by maintaining compliance with HIPAA and other relevant Ashley related IT security regulations

DESIRED KNOWLEDGE/SKILLS/ABILITIES:

• Minimum High school and at least 2 years working in an office setting required.
• Minimum 1-2 years of health insurance experience, including fundamental understanding of patient revenue cycle required. 
• Typing and computer skills with knowledge of Microsoft Office to include Outlook, Word and Excel required.
• Excellent telephone and communication skills with the ability to de-escalate crisis situations.
• Good arithmetic skills with basic understanding of standard financial reporting. 

Ashley is committed to maintaining a work environment in which all of its employees are treated fairly with respect and dignity. Ashely prohibits discrimination and harassment based upon an individual’s race, color, religion, national origin, age, marital status, military/veteran status, sexual orientation, gender identity or expression, pregnancy, genetic information, disability, or any other characteristic protected by applicable law.