Behavioral Health Ins Rep- Business Office

Overview

The Behavioral Health Insurance Rep assists scheduled and unscheduled patients during onsite registration, admission and arrival processes in emergency and outpatient settings and performs insurance verification for “walk-in” visits as necessary.

• Performs real-time insurance eligibility and benefits verification. 
• Ensures that all workflows related to hospital collection activities meet department requirements, maximize revenue collection, and achieve leading practice levels of performance. 
• Focuses on attaining daily productivity standards, recommending new approaches for enhancing performance, eliminating waste, and increasing productivity when appropriate. 
• Strives for positive patient experience. 
• Complies with all federal, state, and Joint Commission requirements. 
• Adheres to Floyd Healthcare Management Inc. organizational policies and procedures for relevant location and job scope. 
• Completes and/or attends mandatory training and education sessions within approved organizational guidelines and time frames. 
• Respools any claim that needs to be refiled electronically. 
• Works denial/zero payments weekly. 
• Reviews/corrects claims with errors in billing system. 
• Works late charge report. 
• Sends inquiries to ancillary departments as needed for claims review/corrections. Reviews and makes corrections upon receiving response. 
• Makes corrections into STAR for monetary changes make to the billing system. 
• Requests and monitors request for medical records as needed. 
• Works failed claim report and accounts on hold. 
• Combines overlapping claims between Floyd Medical Center & Willow Brooke at Floyd due to Medicare/Medicaid 72-hour rule. 
• Completes other duties as assigned. 

REQUIREMENTS:

A. EDUCATION 

1. High School Diploma or equivalent from an accredited institute

B. EXPERIENCE 

1. At least 1 year related healthcare or customer service experience
2. Proficiency with PC based office productivity tools (Microsoft Outlook, Excel, Word)
3. At least 1 year of Behavioral Health billing and/or follow-up experience preferred