Coord - Business Office

4 weeks ago

Madera, United States River Vista Behavioral Health Full time

**Responsibilities**:
**River Vista Behavioral Health** sits along the bluffs overlooking the San Joaquin River, this brand new, 128-bed facility, will provide high-quality and advanced behavioral health services to residents and visitors in the Central Valley. The new hospital will employ more than 250 people, including clinicians, nurses, mental health technicians, support staff and administration.

We are currently seeking a forward thinking and compassionate **Business Office Coordinator **to be part of our Business Office Team. The Business Office Coordinator is responsible for verifying benefits and eligibility on admission inquiries, preparing admission folders, collecting co-pays/deductibles from patients, assisting with establishing effective and timely payment plans, coordinating with utilization review and discharge planning efforts to limit risk of non-payment, providing ongoing patient benefit information, participating in patient discharge procedures, and coordinating financial arrangements with collection personnel. Assist business office in collection calls to insurance companies and patients to maximize reimbursement from account receivable balances.

**QUALIFICATIONS**

**_ Education: _**High school graduation, or equivalent.

**_ Experience: _**One (1) year of experience in admission processes and collections procedures, and a working knowledge of managed care; interpretation of insurance coverage plans, co-payments and deductible schedules and payment plans.

**_ Skills: _**Knowledge of computers and business software programs (Excel) preferred; Skilled in Microsoft software programs; Ability to compile data for use in reports, review database records.

**_ Additional Requirements: _**May be required to work occasional overtime and flexible hours.

**_ PRIMARY RESPONSIBILITIES_**
- Upon receipt of an intake inquiry form, verifies eligibility and benefits for all admissions.
- Communicate benefits information and co-payments to patients and families prior to admission.
- Obtain after-hours admission files from the A&R department each morning if not delivered, with any exceptions approved by the office management.
- Maintain ticker filing system for authorizations and benefit expiration; and communicate on a daily basis with the Business Office Director.
- Ensure all pre-admission and admission calls and paperwork are addressed and completed in an accurate and timely manner:

- Contact the appropriate agencies to obtain treatment authorization numbers, reimbursement structure, and patient eligibility.
- Conduct a financial interview with the patient/family prior to admission based on insurance verification; calculate the amount of deposit necessary and collect the deposit or makes arrangements for payment.
- Verify employment and insurance information.
- Complete the telephone profile of insurance benefits in a timely fashion.
- Assure that all admission forms are completed accurately and appropriate signatures are
obtained.
- Assign the correct financial class and adjust financial class as required.
- Notify the appropriate facility management of any potential problems related to admission or payment.
- Obtain a deposit and explain benefits and financial obligations within 48 hours of admittance, with all exceptions approved by the Controller.
- Complete a demographic pre-certification if required.
- Complete the admission folder within one working day of admission, and schedule all critical dates for appropriate follow up:

- Provide admission folder to the appropriate facility management for review within one working day of admission.
- Ensure written confirmation of benefits and eligibility is sent to the primary and secondary insurance carrier and scheduled for follow up.
- Provide financial counseling to patient and/or guardian or assigned responsible party:

- Contact patient or assigned contact within 48 hours to make payment arrangements and to obtain deposits if not done prior to admission, with all exceptions approved by Business Office Director.
- Serve as a patient liaison between the family or assigned parties, and business office case management staff.
- Obtain the financial worksheet and income proof, as required, prior to discharge.
- Complete timely and effective payment arrangements prior to or upon discharge whenever possible.
- Participate in completing appropriate paperwork for patient discharge, and coordinate patient financial arrangements.
- Maintain all in-house accounts in a current and accurate manner:

- Review all in-house accounts and clearly documents the status of the file regarding all financial and legal issues. Complete all required information.
- Clearly document all activity occurring during the admission as it pertains to eligibility, benefits, reimbursement and required signatures.
- Coordinate with other departments within the facility to assure appropriate usage of patient benefits:

- Coordinate with the case management staff to determine benefits

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