Enrollment Specialist, CBHC

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Job Description:

The enrollment specialist serves as the onsite insurance expert for the Community Behavioral Health Center (CBHC). The enrollment specialist communicates with the client or designee to obtain the information required for patient access in the agency EHR.

Responsibilities:

1. Verifies patient's insurance eligibility for visit, using various online tools and by contacting the payer directly. (essential)

2. Ascertains, creates, and assigns the guarantor for each patient, including personal/family relations, workers compensation insurance, third parties, behavioral health, or others as required.
3. Efficiently registers patients, capturing and verifying all required information in order to identify the patient, contact the patient, and receive proper reimbursement for services on initial claim submission.

4. Identifies and escalates issues timely and appropriately for resolution and communicates and coordinates with revenue cycle department.

5. Uses clinic-wide scheduling system for updating demographic and insurance information to ensure timely and accurate billing.

6. Communicates financial clearance status to patients. Advises patients of contract status, self-pay status, and payment responsibility and schedules patients with Financial Counseling as needed.

7.Counsels patients regarding non-covered services, obtaining signatures on Advance Notice Beneficiaries (ABNs), consents and waivers.

8. Refers patients to financial counselors to resolve complex financial issues and/or inquiries. (essential)

9. Completes assigned work queues and reports daily to achieve standards of productivity and quality.

10. Assists with reviewing medical necessity and obtaining authorization for urgent or walk-in visits.

11. Acts as a team member and responds in a positive manner to necessary change.

12. Maintains strict adherence to the BILH BS Confidentiality Policy.

13. Incorporates BILH Guiding Principles, Mission Statement and Goals into daily activities.

14. Complies with all BILH BS Policies.

15. Maintains courteous and effective interactions with colleagues and patients.

16. Demonstrates an understanding of the job description and performance expectations.

17. Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.

18. Scans documents, when applicable, into the electronic health record.

19. Attends all required supervision and meetings.

20. Performs all other duties as needed or directed to meet the needs of the department.

Qualifications:

• High School Diploma / GED, a minimum of 1 yr. Experience in a related field; multitasking, time management and strong attention to detail are essential.

• Knowledge of billing practices preferred

• Excellent customer service skills

Schedule: Full time, 40 hours

Pay Range:

$19.00 – $23.16

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

Job details

• Employment: Full-time
• Hours/Week: 40
• Shift: Day
• Category: Payer Relations
• Pay Range: $19.00 - $23.16
• FLSA: Non-Exempt
• Req ID: JR88787