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Full Job Description
Overview:
CHE is a premier provider of behavioral health services in sixteen states and continues to grow into new markets. CHE has been operating since 1995 and employs over eight hundred psychology and psychiatry providers to deliver care virtually and in person at various care settings. We deliver a unique programmatic approach to behavioral health services and are focused on quality and compliance for facilities and in our outpatient settings. Backed by a leading private equity investment firm, we are looking for aggressive, talented, ambitious, engaging, innovative, and all-around balanced individual to
join our team.
join our team.
Responsibilities:
The role of the Patient Financial Coordinator is to manage all aspects of individual patient accounts for both insurance balances and patient pay balances. The Patient Financial Coordinator will use internal and external resources to secure payment for all services provided. This includes but is not limited to patient collection calls, claims resubmissions, denial processing, credit card transactions and reconciling payments.
Essential Job Responsibilities:
Collect outstanding Insurance and/or patient balances and ensure timely collection of accounts. Research and resolve claim denials, account discrepancies, and aged balances to meet and maintain individual and departmental goals. Utilize problem solving and critical thinking skills to determine account resolution. Access portals for invoice remittance and follow up. Research and correct cash application of misapplied funds and payments on account for patient accounts as necessary. Identify and request adjustments to patient accounts as necessary, while following departmental procedure. Have an accurate knowledge of insurance billing and staying current with industry changes. Alert management to irregularities, patient trends and areas of concern. Effectively participate during team meetings, payer discussions/meetings and conference calls/meetings as needed
Education:
High School Diploma or equivalent
Some college preferred
Qualifications:
Experience:
- Minimum of two successful years in a business collection environment preferred
- Prior medical billing and healthcare insurance knowledge required
- Thorough understanding of Behavioral Health, In/Outpatient knowledge preferred but not required
- Knowledge of Commercial Insurance, Governmental Insurances and third-party payers preferred
- General knowledge of CPT, ICD-9/10
- Proficient in Microsoft Office applications (e.g., Word, Excel, Outlook) and Google (Gmail)
- Solid understanding of HIPAA, state laws and fee schedules and their impacts on billing and collections
- Working knowledge of CPT and ICD10 codes, HCFA 1500, HIPAA, billing, and insurance regulations
Knowledge and Skills:
- Excellent oral and written communication skills
- Excellent organizational and multitasking skills
- Detail oriented
- Highly organized
- Quick and accurate alpha/numeric data entry skills
- Ability to work in high volume, fast paced environment
- Customer service oriented
- Excellent work ethic and commitment to job responsibilities
Hourly rate $24.00- $25.00