Position Summary:

Person in this position is responsible for coordinating the inpatient admissions process including insurance

pre-authorization for admission. Preferred candidate to have experience working with health insurance companies,

performing account set-up & management, have medical terminology knowledge, possess excellent computer skills and

be detail oriented. Experience in Behavioral Health setting is also preferred.

 

Essential Job Functions: Meets with each new client on admission and accurately inputs all necessary financial and/or insurance information

into agency database.

Verifies insurance by checking enrollment and funding status in multiple databases and documents insurance

benefits in admission database prior to admission.

Facilitates completion of any client information, financial payments, authorizations or other documentation at the

time of admission.

Calculates copayments and/or private fees and provides an invoice to client prior to discharge. Maintain proper balance regarding source of payment (fee for service, Medicaid, public, private, and third-party

payers)

Responsible for educating clients on benefits and opportunities within the WestCare system. Resolves any issues with coverage and escalates complicated issues to the billing manager and/or director. Coordinate with the billing manager to assure all admissions/transfers/discharges are completed within the

appropriate time frame.

Work collaboratively with treatment teams of all programs, communicating information needed to maximize good

customer service to clients, referral sources and third party payers.

Maintain daily census and provide census information to internal and external sources on a timely basis. Assist all clients with application process for Medicaid by assisting with completion of the application, addressing

any questions or concerns and helping the client to find the most appropriate coverage option available.

Relay reporting information to billing manager regarding non-insured clients, daily. Completes all orientation and mandated training activities, including E-Learning Courses, within required

timeframes, and in accordance with the criteria established for this position.

Embrace and embody the mission, vision, guiding principles, clinical vision and goals of WestCare Foundation; and

Perform any other duties as assigned.