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Patient Financial Services Representative
2 months ago
Overview:
Position:
Patient Financial Services Representative
Work Arrangement:
Hybrid Flexibility
Full Time Schedule:
Monday - Friday, with flexible start times.
Hybrid Work Model:
In-Office Days:
Tuesday & Thursday
Remote Days:
Monday, Wednesday, & Friday
Our Mission:
We are dedicated to Leading Care With Light.
We seek passionate and skilled individuals who share our commitment to delivering exceptional care to our patients and addressing the opioid crisis comprehensively.
Our approach treats the entire spectrum of the disease, not just isolated symptoms.About Our Team:
Acadia Healthcare's Comprehensive Treatment Centers (CTC) division operates over 160 outpatient addiction recovery facilities across the nation, catering to individuals in treatment for opioid use disorder.
Employee Benefits:
Medical, dental, and vision coverage
Acadia Healthcare 401(k) retirement plan
Paid time off for vacation and illness
Unmatched opportunities for professional growth in the industry
Your Role as a Patient Financial Services Representative:
The Patient Financial Services Representative will oversee patient account balances to ensure adherence to organizational policies and provide guidance to clinic personnel regarding patient financial responsibilities.
Key Responsibilities:
Respond to clinic inquiries concerning patient accounts (co-pay, co-insurance, deductibles, etc.)
Act as a point of escalation for patient financial inquiries or issues.
Ensure accurate and timely communication between clinic staff and the centralized billing office.
Monitor whether assigned clinics are collecting patient payments promptly.
Review claims discrepancies and make necessary corrections and resubmissions.
Utilize claims clearinghouse to assess and rectify claims. Resubmit electronically when feasible.
Examine explanation of benefits to confirm that claims are processed and compensated correctly.
Complete adjustment forms for any necessary account modifications and attach all relevant documentation.
Manage daily productivity through the patient accounting system and productivity reports, maintaining an average of 30-40 accounts processed daily.
Prorate patient accounts and ensure that outstanding balances are categorized correctly.
Negotiate and secure payments on overdue balances, proposing discounts when suitable.
Complete Self-Pay adjustment forms and submit for approval, following standard operating procedures.
Monitor compliance with authorization and referral protocols.
Identify and suggest opportunities to enhance collection rates and improve patient understanding of their financial responsibilities.
Audit patient accounts for thoroughness and accuracy (i.e., signed financial consent forms, Insurance Verification Forms, authorizations, insurance cards, driver's licenses, etc.)
Contact and follow up on outstanding claims with third-party payers.
Provide weekly summaries to the Board of Directors and participate in accounts receivable meetings.
Gather and analyze data from the system to determine appropriate actions and initiate timely and strategic steps to secure payments.
Assist financial counselors as necessary.
Notify Financial Counselors and the Business Office Director of any benefit eligibility issues that may affect reimbursement.
Qualifications:
Your Education &
Qualifications:
A high school diploma or GED equivalent is required.
3+ years of experience in admissions and/or collections within a healthcare setting is required.
Experience in psychiatric settings is preferred.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal, and local laws.
