Job Posting for Patient Financial Coordinator at Behavioral Health Group

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 401K discretionary match
Bonuses: We offer competitive pay, annual increases, bonuses, 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 120 locations in 24 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.

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Patient Financial Coordinator

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