BEHAVIORAL HEALTH REIMBURSEMENT COORDINATOR

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Description/Job Summary

Overview

This position is responsible for accurately and timely processing commercial payments, processing self pay payments, managing adjustments and refunds for Lakeview Center Inc. (LCI) and the West Florida Community Care Center (WFCCC) client accounts. This position is responsible for managing Accounts Receivable (AR), as well as, patient account reconciliations. The Reimbursement Coordinator will also ensure all payments are entered into the system timely, collection follow-up phone calls, sending collection letters to clients, and auditing accounts for accuracy before they are given to the collection agency. This position is required to develop and maintain a working knowledge of insurance billing, coding and insurance regulations. Assist with the month end closing process. Answer internal and external calls and emails. Must have a thorough knowledge of insurance regulations and contracts to ensure correct payments are received. Thorough understanding of basic accounting principles to ensure accurate reconciliation of client’s accounts. Manage aged accounts within the guidelines set forth in the departmental Policy and Procedure manual. Report any billing concerns/issues to the Business Office Manager. This position will work closely with finance, accounting and co-workers to identify best practices for ongoing reimbursement enhancements with Lakeview Center Inc. and West Florida Community Care Center.




Job duties are expected to be executed with considerable independence in AR with established facility policies and procedures, contract requirements, organization bylaws, and federal and state regulations/laws.


Qualifications


    • Associate (AA) degree.
    • Three (3) years relevant business experience.
    • High school diploma or GED with five (5) years related experience may be substituted.
    • Must have strong organizational skills and the ability to prioritize responsibilities. 
    • Must be able to work independently and have good decision making skills.
    • Must maintain effective working relationships with internal and external customers.
    • Must possess a working knowledge of claims processing, invoice management, and collections.
    • This position will requires the ability to research and analyze data and provide immediate feedback to the management team as appropriate or requested.
    • Excellent verbal and written communication skills.
    • The position requires proficient computer skills and must be able to use Microsoft Office to complete tasks. 
    • Thorough understanding of HIPAA guidelines and regulations in regards to confidentiality and Release of Information regarding medical records. 
    • Practice proper telephone etiquette and provide excellent customer service.


      These responsibilities do not reflect all duties the incumbent will be required to perform. This description serves as an overview only. Salary is based on experience. Excellent benefits. Days and hours may vary.

    • Lakeview Center is an Equal Opportunity/Affirmative Action employer. Minorities, Females, Protected Veterans and Individuals with Disabilities are encouraged to apply. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. Drug Free/Nicotine Free Workplace Employer, DRUG TESTING/NICOTINE TESTING REQUIRED.
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    Equal Employment/Affirmative Action employer including Vets and Disabled. For more information, view the EEO is the Law Poster and Pay Transparency Statement. For reasonable accommodation, please email us at LCIEmployment@bhcpns.org.