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Check with seller CLIENT BENEFITS & COLLECTIONS SPECIALIST Bridgeport

Published date: April 3, 2022
  • Location: Bridgeport, Connecticut, United States

BHcare

Caring for our community through all stages of life.

Who We Are

BHcare is a Certified Community Behavioral Health Clinic that offers a comprehensive and integrated system of care with wrap-around services for adults, children and families struggling with mental health, substance use, domestic violence, and other health-risk behaviors.

We employ a diverse and dedicated group of professionals that create and sustain programs to rebuild and change the lives of those who walk through our doors each day. We are devoted to helping our clients live to their full potential as happy, healthy and active members of our community.

Why BHcare?

Our culture and benefits are designed to promote your well-being and help you achieve a healthy work-life balance.

Benefits to full-time (30+ hours per week) employees:
Flexible work schedule
Paid Time Off (vacation, sick, personal and 8 holidays)
Health & Dental insurance
Dependent care accounts
Medical flexible spending accounts
Paid family leave
LTD & Disability coverage
Life & AD&D
Supplemental insurance including STD, Cancer, Accident and Critical Illness
Employee Assistance Program
403(b) retirement plans with 4% employer match
Career advancement opportunities
Employee referral program
Staff events and activities

Position Summary: Under direction from the Billing and Collections Manager, provide financial evaluation and support for the clinic billing functions to ensure reimbursement of claims.

Responsibilities:
Determine benefit eligibility, verify coverage, initiate treatment authorizations, and establish a financial record for identified clients. Update financial record according to policies and procedures as needed.
Assist clinical staff with treatment authorizations by maintaining current authorization procedures on each payer source and tracking service utilization to determine the need for further authorizations.
Provide benefit/financial information to Admissions and Referrals.
Communicate co-pay and fee responsibilities to clients as well as meet with clients to establish fee agreements and payment arrangements.
Monitor outstanding balances and outreach clients to coordinate payment arrangements.
Maintain a positive professional relationship with payer sources to facilitate and expedite treatment.
Prepare authorization paperwork for Clinician and input information into system
Obtain treatment authorizations for IOP and input information into system
Maintain files of client statements and payment activity.
Posting of self-pay payments as assigned.
Follow up on clinic self-pay accounts receivable and resolve open items, including making calls, making corrections, rebilling, entering adjustments, and sending letters as needed.

QUALIFICATIONS:
High School Diploma or GED
Minimum of two years professional experience.
Knowledge of managed care organizations, specifically benefit limits and treatment authorizations a plus.
Knowledge of third-party medical billing.
Superior written and verbal communication skills.
Must be proficient with PCs and Microsoft Office Word & Outlook and if applicable must have the ability to navigate through electronic health record.

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