Financial Counselor Full-Time AM/Mon-Fri - Behavioral Health 155

Profile

u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental health services to adults with serious mental illness. We partner with public sector entities and behavioral health organizations and have over 155 programs and over 4,300 employees across the country. And weu0027re growing all the time! When you work at Telecare, you help to empower thousands of individuals every day in their journeys of recovery.u003cstrongu003eu0026nbsp;u003c/strongu003eu003cstrongu003eu003cspanu003eu0026nbsp;u003c/spanu003eu003c/strongu003eu003cstrongu003eu003cspanu003eu0026nbsp;u003c/spanu003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eTelecare is proud to have been recognized by The Bay Area Business Times as the 9u003csupu003ethu003c/supu003eu003cspanu003eu0026nbsp;u003c/spanu003eBest Place To Work In the Bay Area for 2020! This is the 18th time we have made the list!u003c/strongu003eu003c/pu003enu003cpu003eAs a part of the Telecare Family,u0026nbsp;Heritage Psychiatric Health Facility (PHF) is a 26-bed hospital providing acute psychiatric treatment to adults over the age of 18.u003c/pu003enu003cpu003eu003cstrongu003eEmployment Status:u0026nbsp;u0026nbsp;u003c/strongu003eFull-Timeu003c/pu003enu003cpu003eu003cstrongu003eShift:u0026nbsp;u003cspanu003eu0026nbsp;u003c/spanu003eu003c/strongu003eu003cspanu003eAM 7:00 am - 3:30 pmu003c/spanu003eu003c/pu003enu003cpu003eu003cstrongu003eDays:u003c/strongu003eu0026nbsp;u003cspanu003eu0026nbsp;Monday - Fridayu003c/spanu003eu003c/pu003enu003cpu003eu003cstrongu003ePOSITION SUMMARYu003c/strongu003eu003cbr /u003eThe Financial Counselor is responsible for performing activities related to confirming and securing reimbursement for services provided to members served who are admitted to or discharged from the program; educating members served with navigation and interpretation of insurance processes; and offering repayment agreements or other financial options related to resolving account balances of members served. The Financial Counselor works in tandem with program clinical staff to ensure demographics of members served are accurate, authorizations are in place, and appeals for denied claims are submitted. The Financial Counselor works to meet or exceed upfront collection standards by staying proactively involved with accounts from pre-registration to discharge. This includes, but is not limited to census confirmation, verification of eligibility and benefits, authorization follow up, copayment collection, and members served statements.u003c/pu003enu003cpu003eu003cstrongu003e ESSENTIAL FUNCTIONSu003c/strongu003eu003cbr /u003eu0026bull; Demonstrates the Telecare mission, purpose, values, and beliefs in everyday language and contact with internal and external stakeholdersu003cbr /u003eu0026bull; Demonstrated ability to multitask and stay organized as well as the capacity to work with sophisticated automated billing system as well as manual billing systems u003cbr /u003eu0026bull; Deciphers insurance coverage and benefits to ensure accuracy of all revenue cycle activities for assigned programu003cbr /u003eu0026bull; Updates the billing system to reflect accurate insurance status of members servedu003cbr /u003eu0026bull; Reviews daily census for all members served to determine Revenue Cycle intervention appropriatenessu003cbr /u003eu0026bull; Calculates liabilities for members served if applicable; provides face to face and/or telephone financial counseling for members served and/or their families, with demonstrated regard for dignity of all members served/families, focusing on:u003cbr /u003eo Confirming accuracy of demographic and insurance information of members served u003cbr /u003eo Explaining insurance benefits and copayment liabilities (if applicable)u003cbr /u003eo Collecting liabilities of members servedu003cbr /u003eo Assisting with financial repayment agreements for those in needu003cbr /u003eo Responding to concerns/needs/responses of members served accordingly u003cbr /u003eu0026bull; Participates as an active member of the Financial Review Committee and provides support as necessary for corporate billing activitiesu003cbr /u003eu0026bull; Actively promotes and supports the ongoing education of co-workers, program, and regional staff to facilitate accurate, timely, and efficient methods of reporting and maintaining census and billing datau003cbr /u003eu0026bull; Functions as primary point of contact between assigned program and corporate office; serves as the point person for all program activities related to revenue cycleu003cbr /u003eu0026bull; Maintains and expands knowledge base of payer requirements for both contracted and non-contracted entitiesu003cbr /u003eu0026bull; Generates reports to identify missing authorizations and informs clinical staff of missing/expiring authorizationsu003cbr /u003eu0026bull; Presents overview of members served who are at risk from the Revenue Cycle perspective (e.g., Medicare members reaching 100 daysu0026rsquo; limit, Kaiser authorizations expiring) u003cbr /u003eu0026bull; Coordinates revenue cycle activities; ensures members served billing is accurate and Avatar data is clean to reduce denied claimsu003cbr /u003eu0026bull; Works closely and partners with program administration to coordinate Revenue Cycle activities to minimize negative financial impact to, and protect the financial integrity of the programu003cbr /u003eu0026bull; Actively collaborates with program staff, providing input via reporting observations, concerns, and asking appropriate questions; maintains effective rapport with operations staff, aiding in proper discharge planning and ensuring all financial assessments are clear, updated, and thoroughu003cbr /u003eu0026bull; Maintains effective rapport with program staff while keeping management abreast of issues identified while performing job duties (e.g., payer changes, authorization issues, system issues, etc.)u003cbr /u003eu0026bull; Informs program clinical and operations staff of liabilities of members served and barriers to complianceu003cbr /u003eu0026bull; Assumes responsibility for taking initiative in solving problems and takes a proactive approach in removing obstacles that hinder work productionu003cbr /u003eu0026bull; Generates aging report to assist with identifying accounts that need collection calls, and makes the call u003cbr /u003eu0026bull; Offers suggestions and input to help establish, provide, and maintain reporting tools for payer reimbursement activities and trendsu003cbr /u003eDuties and responsibilities may be added, deleted, and/or changed at the discretion of management.u003cbr /u003eu003cbr /u003eu003cstrongu003eQUALIFICATIONSu003c/strongu003eu003cbr /u003eRequired: u003cbr /u003eu0026bull; High school diploma and five (5) years of experience working in hospital service access, clinical service access, physician office, or billing and collections; or an Associateu0026rsquo;s degree in a healthcare related field and one year of healthcare customer service experienceu003cbr /u003eu0026bull; Ability to analyze data, perform multiple tasks, and work independentlyu003cbr /u003eu0026bull; Ability to develop and maintain professional, service-oriented working relationships with members served, clinicians, social workers, and supervisorsu003cbr /u003eu0026bull; Understanding of Medicare, Medi-Cal/Medicaid, and commercial insurancesu003cbr /u003eu0026bull; A Must be at least 18 years of ageu003cbr /u003eu0026bull; Must be CPR, Crisis Prevention Institute (CPI), and First Aid certified on date of employment or within 60 days of employment and maintain current certification throughout employment u003cbr /u003eu0026bull; All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, valid driver license, a motor vehicle clearance, and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual, or local requirements may apply.u003cbr /u003eu003cbr /u003ePreferred:u003cbr /u003eu0026bull; Advanced knowledge of insurance benefits, previous financial counseling, or collection experienceu003cbr /u003eu003cbr /u003eu003cstrongu003eSKILLSu003c/strongu003eu003cbr /u003eu0026bull; Computer literacy and demonstrated capacity to work with Microsoft Excel and Wordu003cbr /u003eu0026bull; Analytical and problem solving skillsu003cbr /u003eu0026bull; Ability to understand complex reimbursement structures and governmental regulationsu003cbr /u003eu0026bull; Ability to work and communicate effectively with program staff, management staff, government representatives, and customers u003cbr /u003eu0026bull; Excellent oral and written communication skillsu003cbr /u003eu003cbr /u003eu003cstrongu003ePHYSICAL DEMANDSu003c/strongu003eu003cbr /u003eThe physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job.u003cbr /u003eu003cbr /u003eThe employee is occasionally required to stand, walk, reach, twist, bend, and lift and carry items weighing 25 pounds or less as well as to constantly sit and do simple grasping occasionally. The position requires manual deviation, repetition, and dexterity. u003cbr /u003eu003cbr /u003eu003cstrongu003eEOE AA M/F/V/Disabilityu003c/strongu003eu003c/pu003e,EqualOpportunityEmployerDescription:Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities,PayTransparencyPolicyStatement:The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c),MatchScore:1.0,HasApplied:false,ApplicationJobBoardName:null,ApplicationJobBoardId:null,DateApplied:null,Salaried:false,CompensationAmount:null,PublishingStatus:1,Links:[],BehaviorCriteria:[],MotivationCriteria:[],EducationCriteria:[{Required:true,Related:false,DegreeId:40c58ea3-9c32-41f7-89e7-54c94edb1499,DegreeName:Associates,MajorId:00000000-0000-0000-0000-000000000000,MajorName:null},{Required:true,Related:false,DegreeId:077ae371-386e-4e3f-b9b1-20928cd69401,DegreeName:High School,MajorId:00000000-0000-0000-0000-000000000000,MajorName:null}],LicenseAndCertificationCriteria:[],SkillCriteria:[],WorkExperienceCriteria:[],JobBoardMemberships:[{JobBoardId:4f54269c-3a81-e250-e075-3a1a05307eef,PublishedInternal:true,PublishedExternal:false,ExternalPostedDate:null,InternalPostedDate:2021-04-19T22:30:39.906Z},{JobBoardId:2fcbb6f4-e717-17cb-9327-3dd87a55b08d,PublishedInternal:false,PublishedExternal:true,ExternalPostedDate:2021-04-19T22:30:39.906Z,InternalPostedDate:null}],AssessmentUri:null,AssessmentStatus:null,OpportunityIsClosed:false,TravelRequired:null,TravelDescription:null,SupervisorName:null,Assessments:[],ApplicationId:null,CompensationAnnualMinimum:null,CompensationAnnualMaximum:null,CompensationHourlyMinimum:null,CompensationHourlyMaximum:null,CompensationCurrency:null});

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