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Performs daily routine monitoring of schedule for accuracy. Utilizes the electronic health report system to acquire all authorization on the same day or prior to rendering of service. Reports any discrepancies to the appropriate personnel within a timely manner. Works collaboratively with reception and billing department staff to assist in the completion of daily requirements in the finance department. Communicates with insurance companies to acquire verification of benefits/eligibility. Works collaborative with Reception staff, Care Coordinator, and Case Managers to facilitate assistance with client financial burden.
Essential Job Functions
Communicate directly with insurance companies on a daily bases to acquire patient verification of benefits and/or eligibility in a timely manner and report all needed documentation to all appropriate parties via email.
Assure accurate client insurance information and attach all supportive documentation into the patient dashboard in the EHR system. Verify and update insurance information as warranted.
Email all information to the proper provider and/or staff member of any changes in insurance coverage and update profile in our EHR system.
Work collaborative with Care Coordinator Authorization Specialist and/or Case Manager to assist client with seeking financial assistance as needed. Process includes but is not limited to, seeking county funding, completing payment arrangement and/or processing of sliding fee scales application. Directly and indirectly as needed.
Identify clients that have lost insurance coverage and/or have a balance to offer other payment options.
Retrieve via EHR and mail out Statements in a monthly manner.
Maintain a high level of customer service and professionalism both in dealing with the public and within the organization.
Complete data entry for SBOP patients on the PM systems and EMR.
Work Collaboratively with Collection Agency to report any accounts moving to collects. Following agency process.
Utilize 271 files to identify clients that may have lost insurance coverage. Once client has been identified follow appropriate procedure to ensure the reduction of client burden.
Assist with reception responsibility as needed.
Collect all client rents and update rent spreadsheets.
Develop an understanding of trauma and how it impacts others.
Incorporate trauma informed practices into job duties and responsibilities, including interactions and communications with others.
Be an active member of BCC’s culture of caring through positive and engaging social interactions.
Perform all other related duties and responsibilities as assigned.
High school diploma
plus two (2) years of billing experience in the healthcare field required.
Flexibility with hours, including evenings required.
Excellent communication skills required.
Verbal communication in both Spanish and English required.
Excellent attention to detail required.
Knowledge of or experience with trauma-informed approaches preferred.
All offers of employment are contingent upon the following: 1) Receipt of results of a satisfactory drug and alcohol screening test. 2) Receipt of the originals of the following background checks: PA State Police Criminal History, PA State Child Abuse, and DPW FBI Criminal History. These clearances must be valid within the 12 months prior to employment. A conviction is not a bar to employment, however a review will be conducted to make a determination of employment should a conviction be present. 3) Receipt of original documentation and verification of relevant degrees, diplomas, certificates, or licensure. 4) Confirmation that you are not on the OIG Federal Healthcare Program Exclusion from Participation list. Should you appear on this list, Berks Counseling Center is prohibited from employing you.