Business Services Office Clerk

PATH People Acting To Help, Inc.•Philadelphia, PA

11h•Onsite

About The Position

To promote the mission of PATH to help individuals achieve a more independent and fulfilling life by being an effective team member. Obtain financial information from clients to assess their ability to pay for service, including sliding-scale for Self-Pay clients. Post all charges as related to liability tasks. Review existing clients on a regular basis to ensure on-going coverage. Collect co-pays for Self-Pay, Medicaid Fee-For-Service and Medicare clients. Provide Accounts Receivable staff with information needed for billing Guarantors.

Requirements

High School Diploma
Two years increasingly responsible experience with medical or behavioral healthcare insurance coverage determination of clients.
General knowledge of insurance terms and practices.
Knowledge of MA billing and third-party billing.
Experience dealing with the public in person and by telephone.

Responsibilities

Interview new clients to determine coverage, if any, and complete financial application to determine client liability based on the Sliding Fee scale.
Compute client liability for services based upon the information provided and EVS status.
Enter client registration information in the computer.
Add/update client liability and/or funding status in the computer.
Upon completion of initial eligibility, mail packet of signed forms along with all other documents as determined if the interview is completed by telephone.
Run EVS for scheduled clients and on a regular basis for all clients.
Inform supervisor of funding source discrepancies.
Complete liability waiver form for BH Director to approve and sign, if appropriate.
Collect co-pays for Sliding Fee clients.
Collect deductibles and co-pays for clients who have Medicare coverage only.
Collect deductibles for clients who have Medicaid Fee-For-Service coverage (General Assistance).
Update client data in computer as it becomes available.
Perform all other duties as assigned.