Financial Intake & Collections Specialist

Patient Financial Information Specialist

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 perform 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