Role Description
The Financial Client Services Specialist provides centralized, patient-centered financial counseling and upfront patient collections for all Advanced Recovery Systems Outpatient and Intensive Outpatient (IOP) facilities, including both affiliated and stand-alone sites. This position focuses solely on financial and insurance responsibilities.
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Serve as the centralized financial point of contact for patients and responsible parties at all Outpatient and IOP facilities, providing services virtually by telephone, video, and secure electronic communication.
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Complete insurance eligibility and benefit verification for all assigned Outpatient patients prior to or at admission.
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Identify coverage details including deductibles, copays, coinsurance, out-of-pocket maximums, coordination of benefits, network status, and pre-authorization requirements.
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Calculate and provide accurate estimates of patient financial responsibility and educate patients on insurance benefits, billing expectations, financial policies, and available payment options.
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Collect applicable private-pay fees, copays, deductibles, and other patient responsibility upfront and within 24 hours of admission.
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Ensure patients sign the “Notice of Standard Billing Practices/Acknowledgement” and all pertinent financial forms within 72 hours of admission.
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When copays or deductibles cannot be collected, have the patient complete an “Advance Repayment Agreement” for monies advanced.
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Process credit card and other payments through approved virtual payment terminal systems and maintain accurate daily payment records.
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Maintain accurate and timely financial documentation in the EHR.
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Monitor insurance coverage throughout the treatment episode and re-verify benefits for coverage changes.
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Collaborate with Outpatient facility leadership, Admissions, Business Development, Utilization Review, and Revenue Cycle Management.
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Submit weekly deposit reconciliation to Revenue Cycle Management or the designated facility representative.
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Meet established performance expectations for verification turnaround, upfront collections, financial form completion, and timely documentation.
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Escalate significant financial, coverage, payment, or documentation barriers to the Program Director/Coordinator and National Director of Outpatient Services.
Qualifications
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Minimum of a High School diploma required.
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Associate or Bachelor’s degree in finance, accounting, business, healthcare administration, or a related field is preferred.
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Experience working in a remote setting.
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Minimum two years of experience in healthcare financial counseling, insurance verification, patient access, patient collections, or revenue cycle preferred.
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Experience in behavioral healthcare or outpatient settings preferred.
Requirements
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Provide strong customer service by promptly answering and returning patient and family calls and inquiries.
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Track and follow up on information requests from patients, facility leadership, and the National Director of Outpatient Services.
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Assist with month-end close, reporting, and reconciliation activities as needed.
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Support standardization of financial counseling and collection workflows across all Outpatient sites.
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Attend required virtual team, operational, and individual check-in meetings.
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Accept and incorporate supervisory feedback and adapt to changing workflow, patient, and site needs.
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Maintain professional and technical knowledge through required education, training, and ongoing professional development.
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Maintain strict confidentiality and compliance with HIPAA and other regulatory requirements.
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Perform other duties as assigned to support patient services and organizational operations.
Benefits
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401(k)
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Paid time off plan
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Medical, dental, vision, and much more