Head of Programming - Boston, MA, United States - BayMark Health Services

Description

Part Time Evening Program Coordinator

The Program Coordinator performs a variety of complex administrative, clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third party billing records, Data Entry as needed, and resolution of a variety of problems.

Follows up on submitted claims and patient billing; resubmits claims or resolves problems. May handle cash items and accounts receivable posting. Perform administrative functions and assist with the coordination of office activities under the supervision of the Treatment Center Director. Maintain the paper flow of clerical functions in the office. Help manage related expenditures in a fiscally responsible manner in accordance with the companys budget.
Essential Job Functions

• Re v i e ws , m a i nt a i ns, a nd p r o c e s ses f i sc a l /ac c o u nt r e c ords a n d t r a n s a c t i o n s re l at e d t o p a t i e n t s a cc o u nts.
• V eri f ies i n s ur a n c e b e n e f i ts a nd b i l l i ng i n f or m at i on b y t e r m i n a l a n d /or t e l e p h o n e .
• A n n o ta t es a cc o u nts w i th i n s ur a n c e c o v era g e a n d e s t i m at e d p at i e n t s h are s .
• Con t a c ts th i r d p a r t y pa y e r s ( i n s uran c e pr o vi d ers a n d s ta t e/ f e d er a l a g e n c i e s ) f or p a y m e nt p o s t b i l l i n g .
• Re s o l v es i ss u e s w i t h p a y m e nt a n d b i l l i n g , a u t h or i z a t i on pro c e ss .
• Forwards i n f o r m at i on as a p p r o p r i a t e t o e x p e d i te p a y m e nt.
• M a i nt a i ns a cc urate a cc o u nt s , i .e. re q u i r ed s i g n at u r e s , proper a cc o u nt a n n o ta t i o n , c ur r e n t d e m o g r a p h i cs , a n d cor r e s p o n d e n c e.
• Insures c o m p l et i o n o f pr e - au th o ri z a t i o n p r o c e s s b y i n q u i r y a n d re f er r al to c l i n i ci a n .
• M o n i tors i n s uran c e a u t h o riz at i o ns a n d c l a i m re j e c t i o n s .
• Maintains fiscal records and/or worksheets for all calculations, extensions, and verifications related to record keeping for assigned patients accounts
• P er f o r ms t as k s c o n s i s te n t w i th a u th o ri z a t i on a nd b i l l i ng r e q u i r e m e n t s .
• M a i nt a i ns c o n c ur r e n t a ut h or i z a t i o ns as n e e d e d .
• Con t a c ts p a t i e n ts f or p a y m e nt of ac c o u nt or p a y m e n t a r r a n g e m e n ts ac c ord i n g t o c ur r e n t p o l i c y .
• P r e p ares w e e k l y pro d u c t i o n l o g s f or s e l f - p a y c li e nts.
• T r a c ks s e l f - p a y b a l a n c e s .
• M a i nt a i ns c o n f i d e n t i a li t y of p a t i e nt r e c ord s .
• Re s p o n ds a p prop r i at e l y to r e q u e s ts f or i n f or m at i on re g ard i n g a cc o u nts f r o m p a y e r , a tt o r ne y , a n d ot h er s .
• Maintains a regular and present in office schedule adhering to company policies at all times.
• Enters n e w a d m i ss i o n s into EHR database .
• A ss i s ts i n o bt a i n i ng a n d f o l l o w i n g u p o n p a t i e nt h i s tor ie s f r o m o t h e r N T P s .
• Assists with c h e c k i ng i n p a t i e nts, c o l l e c t i ng pa y m e nts, a n s w e r i n g p h o n e s , sc h e d u l i ng i n t a k e s , a nd da t a e nt r y .
• A ss i s ts w i th ar c h i v i ng d i sc h arged f i l e s , i n c l u d i n g a rc h i v i ng
• Con d u c ts f o ll o w up c a l l s when necessary.
• A ss i sts w i t h vari o us a d m i n i s t r at i v e d ut i e s , a s as s i g n e d b y T r e a t m e n t C e nt e r D i r e c t o r .
• Verifies i n s uran c e e l i g i b i l i t y , wh e n a p p l i c a b l e
• S u p p o r ts o r g a ni z at i o n a l a nd d e p a r t m e n tal p h i l o s o p h i e s , g o a l s , a n d o b j e c t i v es a n d t hrou g h o wn b e h av i or l e a d a n d m ot i v a t e o t h e r s to do s o .
• Maintains a p propr i ate re c ords as re q u i r ed b y C o m p a n y p r ot o c ol a n d Fe d eral a n d S ta te R e g u l at i o n s .
• A ss i s ts i n o bt a i n i ng a n d f o l l o w i n g u p o n p a t i e nt h i s tor ie s f r o m o t h e r N T P s .
• O th e r d u t i e s , as as s i g n e d .

Qualifications

• At least 18 years of age.
• High School diploma required, Bachelors degree preferred.
• Minimum of 2 years experience in a supervisory role preferred.
• Previous experience working with substance abuse population or related field strongly preferred.
• Exceptional oral and written communication skills.
• Excellent documentation and computer literacy skills required.
• Demonstrable ability to comply with accepted professional standards and practices.
• Exceptionally detail-oriented.
• Demonstrate ability to meet deadlines.
• Must have the ability to multitask.
• Must be able to operate effectively in a fast-paced environment with attention to detail.
• Satisfactory references from employers and/or professional peers.
• Satisfactory criminal background check.
• Satisfactory drug screen.

COVID-19 considerations:

Everyone will be asked to be in compliance with the most recent COVID guidelines from CDC, State, County and City.

Here is what you can expect from us:

HCRC (Health Care Resource Centers) a progressive substance abuse treatment organization is committed to the highest quality of patient care in a comfortable outpatient clinic setting.

Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder to help each of our patients achieve long-term recovery and an improved quality of life.

HCRC (Health Care Resource Centers) is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veterans status or any other classification protected by State/Federal laws.

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