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[Remote] Patient Financial Specialist

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. ERC Pathlight is a leading treatment provider for mood, anxiety, and trauma-related conditions, committed to changing lives through compassionate care. The Patient Financial Specialist plays a vital role in guiding patients through their financial obligations while collaborating with various teams to ensure accurate financial planning and support.

Responsibilities

  • Educate patients on their financial obligations, including co-insurance, deductibles, and fees related to various care levels (RES, PHP, IOP, VIOP, etc)
  • Review verification of benefits (VOB) and estimated patient responsibilities, addressing inquiries regarding billing, step-down services, and other fees
  • Process, review, and support the patient throughout the financial aid application process. Communicate clearly with internal teams and the patient the results of the application
  • Set up Payment Plans when needed
  • Bill all lodging charges as applicable
  • Post all Financial Aid adjustments & Payments for Lodging
  • Manages and resolves patient share of cost balances in alignment with organizational cash flow targets
  • Help plan transitions between levels of care when required
  • Communicate insurance interruption w/ treatment teams when needed
  • Obtain signed patient MAFR due to insurance non-coverage when needed
  • Prepare and process financial paperwork for new admissions and ongoing care programs as it applies to financial aid, payments, and RFPs
  • Scan, upload, and maintain accurate financial records in appropriate systems as applicable
  • Communicate with the claims department and internal teams to resolve ongoing billing issues and ensure accounts are updated & accurate
  • Keep internal metrics and patient financial data current in Salesforce, MMD, Nova, and/or other designated systems
  • Ensure compliance with financial policies and procedures
  • Support patients with financial inquiries, offering clear explanations and appropriate options for payment plans or adjustments

Skills

  • Highschool Diploma or GED- Required
  • Strong interpersonal skills
  • Clear communication skills, both verbally and in writing
  • Must have a commitment to excellent customer service and a strong understanding of mathematical principles
  • BA in Healthcare or related field
  • Healthcare related higher education (post high school)
  • 1+ year of experience in healthcare setting to include: payment/adjustment posting, identification and management of patient responsibility and patient financial counseling
  • Preferred experience in Behavioral Healthcare

Benefits

  • Competitive compensation
  • Comprehensive medical, dental, and vision coverage
  • Generous Paid Time Off
  • Parental Leave benefits
  • Retirement benefits
  • Tuition reimbursement to help you continue growing in your career

Company Overview

  • Pathlight is part of a leading national mental health care system. It was founded in 2006, and is headquartered in Denver, Colorado, USA, with a workforce of 1001-5000 employees. Its website is https://www.pathlightbh.com/.
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