QMHP-Behavioral Health Financial Liaison

COLLIN COUNTY MENTAL HEALTH RETARDATION CENTER•Plano, TX

1d•Onsite

About The Position

The Behavioral Health Financial Liaison works within the Behavioral Health division reporting directly to the Behavioral Health Financial Supervisor. This position works in a constantly busy environment that requires accuracy, attention to details, flexibility, initiative, and a pro-active approach to duties and responsibilities while working with individuals, clinical teams, and workforce members. This position is responsible for connecting with individuals to explain benefits, the maximum monthly fee, and attempt to collect the balances in full or by establishing a payment plan. Additionally, this position will manage the BECA report, reconciling data on the report with the EHR to ensure accurate information is entered. The Behavioral Health Financial Liaison will work closely with the billing department to ensure errors are corrected, insurance plans are entered correctly, correcting payer information to reduce billing errors, and assist with resubmission of claims as needed. The Behavioral Health Financial Liaison will be cross-trained and provide assistance when needed to the insurance verification team and financial eligibility claim. Additionally: Verifies insurance on individuals discovered to have coverage and explains benefits and MMF to individuals. Reconciles errors to ensure appropriate coverage plan is listed and claims are submitted accordingly. Verifies insurance and/or terms insurance when claims denials are received. Serves as backup for insurance verification and financial eligibility teams. Documents all interactions with individuals in the EHR clearly, professionally, and accurately. Completes and resolves all documentation within 48 business hours of the provision of service. Encourages collaboration, healthy boundaries, and positive relationships within team. Will interact with peers in a positive and encouraging and professional Shares ideas and techniques as well as clinical expertise with team members. Willing to explain and teach information to fellow team members. Sets a positive example of appropriate behavior for other team members, interns, and students. Advocates for individuals needs and helps coordinate transportation to promote recovery. Understands and promotes trauma informed care practices. Demonstrates effective problem-solving skills. Appropriately uses LifePath Systems equipment and materials.

Requirements

Bachelor’s degree from a four-year university that meets Texas Administrative Code (TAC) requirements for a Qualified Mental Health Professional – Clinical Services (QMHP-CS)
At least one-year experience in a community mental health setting
At least 3 years’ experience working in a health care facility with knowledge of scheduling, insurance verification, billing, and collections, and data entry.
Must have reliable transportation and a valid Texas driver’s license
Knowledge and experience in scheduling, insurance verification, billing, and collections
Must be professional and knowledgeable of customer service skills
Knowledge of the social services system and the ability to connect individuals with appropriate providers and benefits for services
Ability to respond to individual with patience, empathy, and understanding
Excellent verbal and written communication skills
Skill in the operation of computers and applicable computer software
Ability to organize one’s time and prioritize responsibilities
Ability to work with a multi-disciplinary team
Flexible and willing to handle a variety of tasks
Ability to think clearly and logically

Responsibilities

Connect with individuals to explain benefits, the maximum monthly fee, and attempt to collect the balances in full or by establishing a payment plan.
Manage the BECA report, reconciling data on the report with the EHR to ensure accurate information is entered.
Work closely with the billing department to ensure errors are corrected, insurance plans are entered correctly, correcting payer information to reduce billing errors, and assist with resubmission of claims as needed.
Cross-train and provide assistance when needed to the insurance verification team and financial eligibility claim.
Verify insurance on individuals discovered to have coverage and explains benefits and MMF to individuals.
Reconcile errors to ensure appropriate coverage plan is listed and claims are submitted accordingly.
Verify insurance and/or terms insurance when claims denials are received.
Serve as backup for insurance verification and financial eligibility teams.
Document all interactions with individuals in the EHR clearly, professionally, and accurately.
Complete and resolve all documentation within 48 business hours of the provision of service.
Encourage collaboration, healthy boundaries, and positive relationships within team.
Interact with peers in a positive and encouraging and professional manner.
Share ideas and techniques as well as clinical expertise with team members.
Willing to explain and teach information to fellow team members.
Set a positive example of appropriate behavior for other team members, interns, and students.
Advocate for individuals needs and help coordinate transportation to promote recovery.
Understand and promote trauma informed care practices.
Demonstrate effective problem-solving skills.
Appropriately use LifePath Systems equipment and materials.