Job Description

Must Haves:

• 1-2+ years of experience within a medical facility, doctors office, or medical business office.
• Experience working with insurance verifications/ financial counseling
• Knowledge in/ Experience processing treatment authorization requests
• Proficient in Microsoft Office.
• High School Diploma.

Plusses:

• Experience working within behavioral health
• Strong MediCare/MediCal knowledge
• Credentialing experience
• Experience using an EMR (electronic medical record) system
• Bilingual English and Spanish

JOB DESCRIPTION:

The Financial Counselor participates in the admission process by responding to inquiries regarding the facility, insurance verification, financial counseling, patient admission, and data entry of all demographic information necessary to appropriately conclude the admission. This person will also be assisting with processing treatment authorizations requests. This individual will be responsible for assessing patients and collecting financial information to guide them to the appropriate services. Admissions occur daily, with referrals coming from various ER departments across the region. As a result, patient volume can fluctuate, typically ranging from 5 to 20 cases per day. In addition to admissions support, this role involves assisting with general financial planning and conducting patient screenings for insurance eligibility. Not all patients will be on a self-pay plan, so familiarity with different coverage types will be important.

*Need to streamline and understand insurances and how it works (within mental health would be a HUGE plus), navigate portals for Medicaid and MediCare and make determinations for patients/advise them in the best direction. This person needs to have a very good understanding of contracts and who they have contracts with.

*Go over hospital documentation with the patient, ensure patient signs it, go over contracted rates and options for the patient with them. Handling intake and admissions.

*Need to streamline and understand insurances and how it works (within mental health would be a HUGE plus), navigate portals for Medicaid and MediCare and make determinations for patients/advise them in the best direction. This person needs to have a very good understanding of contracts and who they have contracts with.

*Systems they use: Office Aly, BestCare EMR system, AIS financial system

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