CHE Services Hiring for Intake Inpatient Services Representative (Remote/West Coast Hours) at United States Full Time

Company Overview:

CHE is a premier provider of behavioral health services in 14 states and continues to grow into new markets. CHE has been operating since 1995 and employs over 800 psychology and psychiatry providers to deliver care virtually and in person at various care settings. We deliver a unique programmatic approach to behavioral health services and are focused on quality and compliance for facilities and in our outpatient settings. Backed by a leading private equity investment firm, we are looking for aggressive, talented, ambitious, engaging, innovative, and all-around balanced individual to join our team.

General Summary

In this hourly position, the Inpatient Intake Representative is responsible for receiving and updating patient information from our referral sources. (Nursing Homes, Facilities, Provider referrals, etc.…) The job is currently remote, but otherwise based in an outpatient medical office building, not on site of nursing home/facility. The duties include but are not limited to verifying insurance eligibility and benefits, accurate and timely entry into patient management system (EMR) and uploading patient documents into EPM/EHR systems. Working knowledge of HIPAA, Federal, State and Local insurance regulations, including knowledge of precertification/authorization processes.

Essential Job Responsibilities

• Timely processing of NEW and EXISITING patients

• Verifies and updates patient demographic and insurance information in the practice management system.

• Effectively use problem-solving skills to obtain and verify patient demographic and insurance information.

• Obtains insurance eligibility, benefit verification, and accurately determines correct party financially responsible for payment.

• General knowledge base of insurance company’s authorization or precertification policies

• Assure accuracy and completeness for all billing requirements.

• Communicate with Clinicians and facilities regarding questions about referrals and verification of insurance coverage.

• Assist Authorization department, as needed, by obtaining re-authorization for current patients.

• Prompt return and follow up to all interactions, prompt response to internal and external inquiries and requests.

• Communicate with doctors regarding new and ongoing patients authorized for service.

• Sort and file paperwork (electronically)

• Maintain a working knowledge of all health information management requirements such as HIPAA

• Maintain strict confidentiality.

• Coordinate with other revenue cycle departments for follow up on billing matters and/or claim denials.

• Communicate and collaborate with Intake Operations Manager and Director of Revenue Cycle to effectively resolve issues impacting the referral process.

• Special projects as assigned.

Education

Experience

• Minimum of two years in medical billing setting

• Knowledge of insurance coverage and benefit verification is a plus.

• Medicare, Medicaid, HMO, PPO knowledge base.

• Prior experience with behavioral health services helpful, but not required.

• Experience in working with RCM (Revenue Cycle Management) Department.

Knowledge

• Thorough understanding of insurance verification, patient registration, and benefit verification/ authorization process

• Working knowledge of HIPAA, Federal, State, and local insurance regulations, and requirements.

Skills

• Detail oriented

• Ambitious

• Highly organized

• Data Entry skills (Quick and accurate alpha/numeric)

• Excellent written and verbal communication

• Self-aware and positive attitude

• Forward thinker and conscientious

• Proficient in Microsoft Office, including Outlook, Word, and Excel

• Ability to work in high volume, fast paced environment.

• Team Player

• Ability to manage competing priorities.

• Ability to perform multiple tasks simultaneously.

• Critical thinking, problem solving and decision-making skills.

• Proven record of reliability, dependability and professional relationship building skills.

• Ability to adapt to change and positively support goals, new policies, and procedures.

• Customer service oriented

• Excellent work ethic and commitment to job responsibilities

• ADS (Practice Management System) experience highly desirable.

ID: 2022-7466

External Company Name: CHE Behavioral Health Services

Street: Remote (Work From Home)

Post End Date: 3/8/2022