Patient Financial and Eligibility Specialist - Hybrid

Job Title: Patient Financial and Eligibility Specialist

Reports To: Billing & Collections Supervisor

Location: Hybrid with 2-3 days on site at our Northpoint Omaha facility 

Schedule: Monday-Friday 8-5pm MST

Compensation: $20-23/hour

Northpoint Recovery Holdings, LLC, established in 2009, is a growing, behavioral healthcare treatment platform treating adults with substance use disorder and co-occurring conditions under the Northpoint Recovery brand and adolescents with mental healthcare conditions under the Imagine by Northpoint brand. The Company serves patients with commercial health insurance and is an in-network model. Northpoint has grown from two facilities to fifteen today entirely on a de novo basis with plans to expand rapidly in both existing and new markets. Organizational values include humility, heart, inspiration and conviction. Our commitment to excellence means doing good for others and engaging in innovative empirical based treatment. In short, our mission is to help people get their lives back and show them respect and empathy in the process. 

POSITION SUMMARY: As a key member of the Finance and Revenue Cycle team, the Patient Financial and Eligibility Specialist is responsible for facilitating financial responsibility communication to patients to determine the patients ability to pay and to secure repayment arrangement with patient, as well as maintaining and managing the collection and reporting for patient responsibility and private payment agreements. This position will be the primary point of contact for patients with questions or concerns related to their financial responsibility for services as well as an advocate for the patient to navigate payment arrangements. The Patient Financial and Eligibility Specialist will collaborate with local operations and admissions staff to ensure that all financial conversations are directed to them. A key deliverable of the role is ensuring the accuracy, timeliness, and integrity of patient payment and support processes on a daily, weekly, and monthly basis. This person will produce reporting based on their respective workflows, manage daily charge reconciliation, and provide oversight of patient responsibility collections with the intent of mitigating risk and driving standards to assist Northpoint with achieving financial results and growth goals.  

ESSENTIAL RESPONSIBILITIES AND DUTIES INCLUDE:

• Collect patient related accounts receivables
• Collaborate with internal and external staff to ensure timely and accurate management of key revenue cycle performance expectations and challenges including: collection of patient responsibility payments, capturing accurate information, timeliness of reporting, denial prevention, unbilled amounts, etc.
• Advocate for patients to ensure that wherever possible insurance is paying appropriately and that the patient responsibility is communicated well and agreed to collect all fees for services
• Audit patient attendance and manage patient collection workflows
• Assist RCM leadership by establishing processes, develop strategies to support patient collections, collecting, analyzing, and managing collection workflows
• Maintain confidentiality in accordance with 42 CFR Part 2 and all other established policies, procedures and standards of care
• Adhere to all company policies and procedures
• Perform other related duties and special projects as assigned

QUALIFICATIONS/REQUIREMENTS FOR POSITION:

• Bachelor’s Degree or equivalent experience
• 4+ years experience in revenue cycle management, preferably in a hospital or healthcare setting
• Experience with healthcare EMR/billing software
• Meticulous attention to detail and high level of accuracy
• Experience with a growing company with multiple entities and geographic locations preferred

PREFERRED KNOWLEDGE AND SKILLS: 

• Sense of ethics, integrity, and confidentiality about employee and business issues
• Ability to work independently and within a dynamic team environment
• Maintain professional and technical knowledge
• Comfortable analyzing information and dealing with complexity
• Excellent communication skills; ability to communicate clearly and concisely, verbally and in writing
• Social ease and a demonstrated ability to build relationships with a variety of different people and personality types
• Excellent time management skills, adherence to company policies, programs, and work rules
• Ability to perform several tasks concurrently with ease and professionalism
• Ability to effectively prioritize workload in a fast-paced environment
• Proficiency with Microsoft Office Suite

This job description is not intended, and should not be construed, to be exhaustive lists of all responsibilities, skills, efforts or working conditions associated with this job. It is meant to be an accurate reflection of the principal job elements essential for making fair pay decisions about jobs.

Employees with potential access to protected health information must comply with all procedures and guidelines governed by HIPAA.

Northpoint is an Equal Opportunity Employer. Northpoint is an At-Will employer. Employment may be terminated at any time by employee, or employer with or without notice.