Benefits:- Opportunity for advancement
- Paid time off
- Training & development
- Wellness resources
- 401(k)
- 401(k) matching
- Employee discounts
Job descriptionKeystone is a not-for-profit 501(c)(3) organization in York County, South Carolina. We offer internationally accredited and licensed services including education, prevention and treatment to meet the needs of individuals, families, and groups that are experiencing alcohol and/or drug related problems.
ESSENTIAL FUNCTIONS:
1. Works closely with Administrative Coordinator in providing Patient Access service at front desk to persons seeking and currently in services at Keystone.
2. Maintains professionalism; provides courtesy to patients by telephone and walk-ins; maintains and monitors lobby traffic control area.
3. Upholds financial policies of agency and contributes to meeting budgetary goals in self-pay collections:
a. prepares and explains Fee Agreements with patients and explains policies to patients using approved scripts.
b. as assigned, conducts Financial Assistance Applications
c. assertively seeks to collect self-pay payments from patients during check-in.
4. Conducts Point of Entry procedures using approved documents, procedures and scripts.
5. (For Patient Access II only) Works closely with administrative staff and clinical staff to facilitate timely payer authorizations and claims processing.
a. enters UR and payer info in CareLogic; identifies UR that needs to be updated, gives advance notice of and follows up with clinical staff on a timely basis to minimize services not paid due to late UR;
b. Approves claims in CareLogic; remains knowledgeable of billing rates and allow ability of service activities for programs assigned. Works closely with Operations Billing Manager when discrepancies are identified.
c. Processes claims in eMedix for Medicaid managed care organizations; works closely with other Billing Staff who process claims submission for Commercial Insurance and Medicaid Fee-For-Service claims.
6. Proficiency with MS office computer software applications and/or Medical Records
software applications, emails, etc. Seeks and participates in the development of
proficiency with available online and in-house training.
QUALIFICATIONS: I: High school diploma and two (2) years customer service experience II:
Assoc. or Bachelor’s Degree from a regionally accredited program and two (2) years’ experience or
high school diploma and four (4) years’ customer service experience. Working knowledge of
computers, Microsoft Office applications, good communication skills (written and verbal).