Financial Information Coordinator in Denver, CO at Mental Health Center of Denver

Date Posted: 5/16/2018

Job Snapshot

Job Description

POSITION SUMMARY:

As part of Accounts Receivable/Billing team, responsible for verifying and updating client insurance benefit information, tracking required client financial documentation, obtaining and tracking authorizations, speaking with clients via phone to obtain information and explain benefits, coordinating insurance information with clinical sites.

ESSENTIAL JOB FUNCTIONS:

  • Obtain and maintain accurate, detailed client eligibility information in AR and client database system.
  • Verify client eligibility and benefits.
  • Track service authorization requirements and usage and obtain authorization as necessary.
  • Act as direct liaison to clinical teams, communicating about client insurance information with clinic staff.
  • Act as a direct liaison to internal staff as well as external partners on special departmental projects as assigned.
  • Update information in a client’s Colorado Client Assessment Record (CCAR) as necessary.
  • Communicate changes in client information to Front Desk Staff, Clinical Staff and AR Department as indicated.
  • Assist clinicians in completion of necessary administrative paperwork related to insurance or a client’s financial information.
  • Track required client financial documentation and assist clinical teams as needed in maintaining documentation in accordance with payer requirements.
  • Explain benefits and financial responsibility to clients. Obtain client insurance information as needed to determine ability to pay.
  • Monitor client account balances, contact clients as necessary to explain balances, and assist Front Office Staff in client balance collections.
  • Assist pharmacy department in determining eligibility for a client’s financial assistance on medications.
  • Answer incoming calls from clients, clinicians and other staff members on the department’s Billing Line phone system.
  • Assist AR Department in researching claims appeals and denials.
  • Assist clinical teams with managing client benefits.
  • Perform other duties as assigned.

EDUCATION:

Preferred associate’s Degree in business, medical billing or related field, or equivalent experience in healthcare/medical insurance environment.

EXPERIENCE:

Minimum two years of healthcare financial/business office or similar third party payer claims experience.

SKILLS AND COMPETENCIES:

  • In-depth knowledge of benefit verification, service authorization procedures, medical terminology and insurance billing codes.
  • Familiarity with mental health terminology a plus.
  • Strong attention to detail and ability to work through a large volume of accounts with accuracy and efficiency
  • Ability to multi task and perform job responsibilities with a minimum of supervision and a certain degree of resourcefulness and creativity.
  • Strong computer, customer service and communication skills.
  • Competence in word-processing and Microsoft Excel spreadsheet application.
  • Ability to interact with consumers and staff with the use of considerable tact and judgment.
  • Valid Colorado Driver License in good standing. Clean driving record.

SUPERVISORY RESPONSIBILITIES:

None

MACHINES AND EQUIPMENT TO BE USED:

Computers, calculators, fax machines, copiers, telephone and a variety of other office/clerical equipment.

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