Financial Intake & Collections Specialist

Alpert Jewish Family Service•West Palm Beach, FL

About The Position

This position is responsible for collecting patient financial information to determine financial responsibility and grant eligibility for services. The duties include follow-up of accounts financial information, collections of outstanding balances, and monthly reporting.

Requirements

High school diploma or GED
2-3 years accounts receivable experience
Comfort working in a flexible, fast paced work environment
A disciplined approach to daily activity planning, setting goals, and achieving success
Must be able to prioritize and work independently
Ability to complete projects within a reasonable time frame
Understanding of the revenue cycle process and how it relates to payers and clients
Excellent written and oral communication skills

Nice To Haves

Experience in behavioral health billing preferred

Responsibilities

Collect and verify insurance information (Medicaid, Medicare, Managed Care, commercial plans) during initial intake and re-enrollment
Review and update patient demographics and payer information as necessary for completion of claims payment
Screen clients for financial hardship, sliding-fee eligibility, and program-specific funding requirements
Explain financial obligations, copays, deductibles, and self-pay expectations in a clear manner
Ensure financial and insurance information is complete, accurate, and entered correctly into the electronic health record
Coordinate with care managers and behavioral health admin staff to support timely access to programs and services
Verify behavioral health, covered services, and authorization requirements
Assist with prior authorization requests
Communicate coverage limitations to Behavioral Health services
Confirm payer eligibility and effective dates at intake and ongoing as required
Prepare monthly client and insurance billing and mail bills
Record cash receipts items (payments) into the Electronic Health Record system
Effectively following up on any unpaid balances
Meet quality assurance and productivity standards by identifying and reconciling insurance balance accounts
Process credit card payments for client accounts
Communicate effectively all financial eligibility information to clients and respective departments
Communicate with insurance payer representatives, patients, and center staff to ensure timely and accurate resolution of account transactions
Prioritize assigned accounts to maximize aged accounts receivable resolution
Review explanation of benefit (EOB) documentation and notate accounts on collection activity to perform account resolution
Receive inbound client calls regarding financial responsibility
Follow-up on open balances listed on monthly AR and Payer Follow-up reports
Other Responsibilities as assigned.