Patient Financial Coordinator

The key responsibilities of the Patient Financial Coordinator (PFC) include but not limited to:

Authorization, Eligibility, And Patient Collections:

• Verify that patients are eligible and authorized for services.
• Communicate eligibility and authorization status to the local Treatment Center Program Director or their designee.
• Conduct weekly and monthly eligibility checks via WayStar or payer websites.
• Train and audit front desk staff, office managers, and new Patient Registration Coordinators on third-party payer processes.
• Collaborate with front desk staff to implement new payer contracts.
• Review insured and uninsured patient balances on a weekly and monthly basis.
• Assist with patient communications regarding financial responsibilities, including requirements for self-pay when third-party coverage is not yet authorized.
• Notify patients immediately if eligibility is lost, placing them on self-pay status until eligibility is restored.
• Document all client accounts with approved or denied authorizations and communicate relevant information to front desk staff and patients.
• Track authorization thresholds for government and commercial accounts.
• Work with the Treatment Center Program Director to ensure prior authorizations are submitted before expiration to avoid coverage lapses.
• Identify patterns in authorization denials and recommend corrective actions or training for clinical staff.
  
  

Compliance and Safety

• Adhere to BHG's attendance standards, arriving ready to work at the designated time.
• Report any workplace injuries, hazards, or security concerns immediately.
• Stay informed of federal, state, and local regulatory requirements.
• Comply with accreditation standards.
• Holds a basic understanding of alcohol/drug abuse and addiction
• Complies with all federal, state and local regulatory agency requirements
• Complies with all accrediting agencies
• Utilize consultation with higher-graded team members as appropriate
  
  

Marketing and Outreach

• Participate in community and public relations activities as assigned.
  
  

Professional Development

• Responsible for the achievement of assigned specific annual goals and objectives
• Demonstrates the belief that addiction is a brain disease, not a moral failing
• Demonstrates hope, respect, and caring in all interactions with patients and fellow Team Members
• Establishes and maintains positive relationships in the workplace
• Can work independently and under pressure while handling multiple tasks simultaneously
• Makes decisions and uses good judgment with confidential and sensitive issues
• Deals appropriately with others in stressful or other undesirable situations
  
  

Training

• Participate in and provide in-service trainings as required by federal, state, local, and accrediting agencies
• Attend conferences, meetings and training programs as directed
• Participate in and/or schedule and attend regular in-service trainings
  
  

Other

• Demonstrated commitment to valuing diversity and contributing to an inclusive working and learning environment
  
  

Minimum Requirements

The Patient Financial Coordinator (PFC) must comply with federal and state regulations regarding certification, licensure, and degree.

Qualifications

• High School Diploma or equivalent
  
  

Preferred:

• Finance background
• Insurance claims or billing experience
• 1 year of experience in patient registration or medical billing.
• Experience supporting clinical staff with authorization documentation to ensure clean submissions.
• Ability to work closely with RCM Leadership and escalate issues promptly.
• Provide benefits assistance to clinical staff for patients with outstanding bills.
• Assist patients with Medicaid and grant sign-ups when necessary.
• Willingness to travel as needed.
  
  

In Addition To Meeting The Qualifications, The Ideal Candidate Will Embody The Following Characteristics And Possess The Knowledge, Skills And Abilities Listed Below:

• High integrity
• Excellent verbal and written communication skills
• Sound judgment
• Efficient
• Self-starter
• Ability to work independently and under pressure while handling multiple tasks simultaneously
• Ability to make decisions and use proper judgment with confidential and sensitive issues
• Must be able to react quickly and make effective decisions
• Demonstrate basic computer/word processing skills
• Demonstrate basic knowledge and skill in the use of typical office equipment such as calculator, fax machine, copier, computer, telephone, and computer programs
• Ability to demonstrate sufficient knowledge and understanding of human behavior to show potential for rehabilitating drug dependent patients
• Must have sufficient knowledge of the substance abuse population, treatment planning and the field of human social services to work toward the rehabilitation of the patient community
  
  

Physical Requirements And Working Conditions

The physical demands described here are representative of the requirements that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions to the extent such accommodation does not create an undue hardship on the business.

• Speaking and hearing ability sufficient to communicate effectively by phone or in person at normal volumes.
• Vision adequate to read correspondence, computer screen, forms, etc.
• Prolonged sitting, some bending, stooping, or stretching
• Variable workload, periodic high stress and activity level
• Standard medical office conditions and environments
• Keyboarding for long periods of time
  
  

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by team members assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of team members so classified. All team members may be required to perform duties outside of their normal responsibilities from time to time, as needed, and this job description may be updated at any time.

BHG is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.