Financial Adv Team Leader

Rosecrance Behavioral Health • Sioux City, IA

4d • Onsite

About The Position

At Rosecrance, we’ve been leading the way in behavioral health services for over a century. Our team empowers individuals and families to overcome substance use and mental health challenges through compassionate care and evidence-based therapies. If you’re ready to make a meaningful impact, we’re ready to welcome you! We are looking for dedicated individuals to join our team and help deliver on our mission of hope and recovery. We are committed to providing careers that make a difference in the lives of the people we serve and the people we employ. We do this through the work we do, our core mission and values, our employee resources, and especially through our purpose-driven community of opportunity and hope.

Requirements

• High School diploma or GED required
• Extensive experience in insurance verification and benefits coordination
• Strong understanding of commercial, Medicare, and Medicaid plans, including policy limitations, authorization requirements, and coverage guidelines
• Demonstrated ability to review insurance plans, verify eligibility, calculate financial responsibility and collaborate with billing teams to minimize claim denials
• Competence in using common computer applications such as word processing and presentation software, with an emphasis on Microsoft Excel.
• Excellent verbal and written communication skills to accurately complete required documentation within the time frames prescribed
• Demonstrated exceptional organizational skills with a proven ability to manage multiple tasks and projects efficiently
• Belief in the mission and vision of Rosecrance

Nice To Haves

• Associate's Degree (preferred)
• Employee supervision experience (preferred)

Responsibilities

• Adhere to prescribed work hours set by leadership, and any additional hours deemed necessary for the responsibilities assigned.
• Complete withheld billing, NTST, ILSR (MH), and Medicaid-pending reports on a routine basis.
• Manage third-party insurance processing for clients, including the determination and verification of benefits, and conducting financial interviews with clients or guardians.
• Monitor and follow up on financial commitments from clients or guardians, ensuring consistency of payment commitments throughout the treatment process.
• Communicate the need for individual case benefit negotiations with the guidance of other stakeholders.
• Communicate client financial information to staff and ensure adherence to current procedures by notifying them of the correct funding classifications.
• Provide details of the verification of benefits (VOB) to the client or the client’s family, along with reviewing funding and payment options.
• Assist in training new team members on Financial Advisor duties and provide ongoing training on both existing and new processes. Additionally, they offer training to other departments on financial eligibility, funding, and related topics.
• Assist in supervising the Financial Advisor team by conducting monthly check-ins, performing annual performance evaluations, and managing employee issues.
• Provide staff feedback on performance via team meetings, monthly supervision, and annual reviews, and provide more frequent individual feedback as necessary.
• Conduct Medicaid/Medicare or other insurance coverage verification and confirm/update Financial Eligibility and Authorizations (as applicable) on all new clients.
• Verify eligibility for all open clients monthly.
• Assist clients with the Medicaid Application process as needed.
• Coordinate and manage payment activities in alignment with client/agency agreements, including receiving client payments and maintaining accurate documentation and handling procedures according to current standard operating procedures (SOP).
• Maintain accurate funding documentation as related to daily census activity as applicable.
• Assist clients with the Charity Care application process and track the granting and application of Patient Assistance funds.
• Process authorization requests for Medicaid, Managed Medicaid, and commercial insurance promptly in accordance with standard operating procedure.
• Input authorization details into the Electronic Health Record (EHR) for all applicable guarantors.
• Manage the batch processing exception report.
• Manage VOB widget and the timeliness of completing VOB’s.
• Complete required audits for the Financial Advisor team and KPI tracking.
• Resolve issues with financial reports by addressing inaccuracies in billing or instances of withheld billing.
• Perform secure handling of cardholder data, including encryption, data storage limitations, and adherence to security protocols.
• Participate in mandatory Payment Card Industry (PCI) training, access controls, and regular security assessments, all aligned with PCI Data Security Standard (DSS) guidelines.
• Coordinate and distribute worklists and reports for the team, assess the timeliness of report completion, and reallocate resources as needed to ensure deadlines are met.
• Coordinate with other stakeholders on co-pays, deductibles, spenddowns, etc.
• Manage special payment terms for any approved client discounts.
• Participate in the monthly finance team meetings.
• Provide appropriate documentation and reports designed to assist in the fiscal management of the agency.
• Understand and comply with all the principles established by the Rosecrance Corporate Compliance Program and Code of Ethics.
• Perform all responsibilities in compliance with the mission, vision, values, and expectations of Rosecrance.
• Deliver exceptional customer service consistently to every customer.
• Serve as a role model for other staff, clients, and customers and demonstrate positive guest relations in representing Rosecrance.
• Assume other related responsibilities as assigned by management.

Benefits

• Medical, dental, and vision insurance (multiple plan options to meet your needs)
• 401(k) with employer match & discretionary contribution
• Group Life Insurance, LTD and AD&D
• Tuition assistance & licensure/certification reimbursement
• Paid Time Off, sick time, bereavement leave
• Referral program earning up to $1,000 per hire!
• Wellness program, including an on-site gym at select facilities
• Discounts at participating retailers
• Daily pay available through UKG Wallet for financial flexibility

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree