<ul> <li>Answer calls, obtains information, and ensures that the call is directed to the appropriate staff. </li><li>Registers patients, verifies insurance coverage, insurance deductibles, and copays. Obtains prior authorization and ensures insurance information is entered into the system. </li><li>Review and track patient daily census. </li><li>Validates insurance effective dates, coverage levels, and financial obligations of the patient in advance of scheduled service dates. </li><li>Communicate with patients regarding charges that may be in question including copayments and deductibles or refer them to Patient Financial Services for further questions. </li><li>Communicate with behavioral health staff regarding prior authorizations and verify the accuracy of demographic and payor information. </li><li>Maintain tracking system, notify providers when continued authorizations and certifications are required. </li><li>Work closely with support staff to ensure daily charge/capture reconciliation information is correct. </li><li>Responsible for daily work queues to resolve front end billing edits. </li><li>Work closely with Psychiatric Financial Manager to develop systems to improve revenue cycle management. </li><li>Keep current on new policies and procedures, including but not limited to, third-party payors, hospital procedures and any insurance updates. </li><li>Comply with departmental and organizational policies/procedures including but not limited to dress code, telephones, cell phones and computers. </li><li>Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers. </li><li>Perform other work-related duties as requested/directed by management. </li><li>Ability to read, write and communicate in English. </li><li>High School Diploma or GED. </li><li>Associates or Bachelors preferred. </li><li>Working knowledge and proficiency with Microsoft Office Suite (Word, Excel, Outlook), use of Internet. </li><li>Minimum of one-year experience interacting with patients. </li><li>A minimum of one-year experience with hospital medical information systems such as Epic within the last three (3) years. </li><li>One year experience in insurance verification/authorization Payor processes in hospital and/or physician billing requirements preferred; or one year recent (within the past 3 years) comprehensive work with 3rd party billing to include DSM-V diagnosis and CPT procedures. </li><li>Understanding of psychiatric diagnosis and/or Mental Health Carve-Out Insurance experience preferred. </li><li>Crisis Prevention Intervention (CPI) Training must be obtained within 1 month of new position. </li><li>Basic Life Support (BLS) certification within 1 month of new position and must maintain. </li></ul>