- Benefits: Your choice of three different benefits programs including health, life, vision, and dental insurance, a tuition reimbursement program, and 401K discretionary match
- Bonuses: We offer competitive pay, annual increases, bonuses, certification/license completion
- Paid Time Off: In addition to paid vacation and company holidays, BHG also provides paid time for training, voting, sick or personal time off
- Work/life Balance: Many of our locations offer flexible work schedules
- Additional Benefits: Employee Discount Programs to applicable cell phone services, restaurants, amusement parks, movie theaters and more
- Career Pathing: We are growing and promote from within
- Self-Care: We offer a self-care series as well as an Employee Assistance Program
Responsibilities
- Validates that each patient is currently eligible and currently authorized
- Communicates status of eligibility and authorization on each patient to the local Treatment Center Program Director or his/her designee
- Checks Eligibility weekly and monthly using WayStar or Payer Websites
- Trains and audits Front Desk, Office Managers and new PFC’s on 3rd Party responsibilities
- Works directly with Front Desk and Office Managers to train and roll out new Payer Contracts
- Audit 3rd Party tasks performed by Front Desk and Office Managers
- Reviews Insured Patient Balances- weekly/monthly and determines if patient qualifies for financial assistance using the Patient Financial Hardship Policy.
- Assists the Front Desk, Office Manager or Program Director when communication to the patient is necessary to discuss financial responsibility to the patient, including the requirement to pay cash (self-pay) at point of service until 3rd party payer is authorized, and eligibility is verified
- If eligibility is nullified at any point during the month, immediately notifies the patient that they are on a self-pay status until eligibility is reinstated; also notifies the Treatment Center Program Director or designee in a timely manner
- Completes and thoroughly documents all client accounts with the approved or denied Authorization; clearly communicates the information to front desk staff and patients
- Tracks Authorization thresholds on all Government and Commercial client accounts
- Works with Treatment Center Program Director or designee on prior- authorization submissions prior to the expiration date and ensures that there are no lapses in coverage and that billing returns are maximized for all patients
- Assists in identifying and analyzing patterns of authorization denials and identifying corrective actions or training needs of clinical staff
- Provides clinical staff with timely support and troubleshooting to ensure documentation supports clean authorization submission
- Works closely with and supports his/her Regional Director in identifying and trouble- shooting issues in a timely manner and promptly escalating any issues for resolution (no surprises and no lingering issues)
- Works closely with RCM Leadership and supports his/her RCM Billing Specialist in identifying and trouble- shooting issues in a timely manner and promptly escalating any issues for resolution (no surprises and no lingering issues)
- Provides benefits assistance to clinical staff regarding patients’ outstanding bills and current fees
- Work directly with Patients to assist/qualify when signing up for Medicaid and Grants as needed
- Performs other duties assigned by Regional Director
- Able to travel as needed