Patient Financial Representative (Fulltime)
Houston Behavioral Healthcare Hospital
Summary
The Patient Financial Representative will report to the Business Office Manager (BOM). The patient financial representative is responsible for all business office functions, including admitting activities for the patients, financial counseling and collection, data analysis, and eligibility determination.
Job description
- Has knowledge of governmental and managed care payer requirements. Implements policies and procedures for admission/registration of all patients.
- Ensures that daily census is accurate, in both paper and system formats. Completes all required forms for admission/registration of a patient and/or patient's family.
- The liaison between patients and their insurance companies; often coordinating payments and answering questions from both parties.
- Educate patients about payment options and financial assistance.
- Verifies insurance benefits and registers patients using AIS software.
- Knowledge of Behavioral Health carve out insurance and prior authorization/coordination of benefits.
- Follow-up with each patient on their Out of Pocket collections.
- Enters complete and accurate documentation into the system describing all patient related admitting/registration activities. Fully documents all transaction requests into the system.
- Ensures all collection activities are in compliance with State and Federal collection laws.
- Review all self pay balances with credit balances to ensure the balance is accurate and processes all refunds (both by check and credit card) for approval in a timely manner.
- Works effectively with Assessment & Referral staff to maximize all pre-admission activities. Works effectively with Case Management staff to minimize the potential for clinical denials. Works effectively to maximize the overall collection efforts of the hospital.
- Participates in training programs to ensure activities are effective.
- Ensures compliance with hospital policies and procedures and is knowledgeable and compliant with all applicable Federal and State requirements.
- Upholds the Organization's ethics and customer service standards.
- Conducts detailed discussion with patients, obtains information and completes required tasks to determine patient’s eligibility for Medicaid and other federal, state, and local government or private sources as appropriate. Aid in financial interview for Medicaid application process, file Medicaid application, and educate patients/families about payments and requesting signatures.
- Performs related duties as requested.
Requirements
- High School, GED or equivalent required
- College degree preferred
- 1 year admitting and/or Financial Counseling in behavioral health setting preferred
- Hospital De-escalation Certification (Upon completion in Orientation)
Benefits
- Medical, Dental & Vision
- EAP
- STD/LTD
- 401-K
- Paid Time Off (PTO)
- Tickets at Work
Company overview
Houston Behavioral Healthcare Hospital is a specialized mental health care facility located in Houston, Texas, dedicated to providing comprehensive psychiatric and behavioral health services. As a healthcare provider in the mental health sector, the hospital offers a range of treatment programs for individuals dealing with various mental health conditions, including depression, anxiety disorders, bipolar disorder, and other psychiatric illnesses. The facility typically provides inpatient and outpatient services, crisis intervention, and specialized therapeutic programs designed to support patients through their recovery journey. Operating within the broader healthcare ecosystem, Houston Behavioral Healthcare Hospital focuses on delivering evidence-based treatments while maintaining a patient-centered approach to care. The hospital likely employs a multidisciplinary team of psychiatrists, psychologists, therapists, and nursing staff who work collaboratively to develop personalized treatment plans. While specific details about the facility's size and operational scope are not available, it represents an important component of the mental health infrastructure in the Houston metropolitan area, addressing critical needs in behavioral healthcare services for the local community.