Patient Financial Coordinator Team Lead

Behavioral Health Group (BHG) is the largest network of Joint Commission-accredited treatment centers and the leading provider of opioid addiction treatment services. We are dedicated to helping individuals overcome substance use disorders. With over 110 locations in 22 states, our team of more than 1,900 employees serves over 42,000 patients.

Position Overview:

The Patient Financial Coordinator (PFC) plays a vital role in managing third-party reimbursement processes, ensuring Behavioral Health Group (BHG) receives full payment for services provided to authorized patients. The PFC also ensures that patients have accurate, up-to-date information regarding their eligibility for coverage. Reporting to the Regional Director, this position collaborates closely with the local Treatment Center Program Director, the Vice President of Revenue Cycle, and the Revenue Cycle Management (RCM) Billing Specialist based in Dallas, Texas.

Key Responsibilities:

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.

Qualifications:

Minimum of 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.

Physical Requirements:

Ability to sit for extended periods, bend, stoop, and stretch as needed.
Adequate vision for reading documents and computer screens.
Effective communication skills for phone and in-person interactions.
Capability to perform keyboarding tasks for prolonged periods.

Why Join BHG?

Work-Life Balance: Enjoy generous paid time off, holidays, and personal needs. Benefit from flexible schedules with early in/early out hours, no nights, and no Sundays. Manageable Workload.

Investment in Your Growth: Prioritize your development with role-based training and advancement opportunities.

Comprehensive Benefits: Choose from three benefits programs, including health, life, vision, and dental insurance. Enjoy tuition reimbursement and competitive 401K match.

Recognition and Rewards: Experience competitive pay, quarterly bonuses, and incentives for certifications or licenses.

Employee Perks: Access exclusive discounts on various services and entertainment options, and benefit from our Employee Assistance Program and self-care series.

At BHG, we thrive on the greatness of our people. Join us and become part of a community that values excellence, integrity, and making a real difference in the lives of others.

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.

Behavioral Health Group (BHG) jobs

Patient Financial Coordinator - Remote