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River Vista Behavioral Health sits along the bluffs overlooking the San Joaquin River, this brand new, 128-bed facility, will provide high-quality and advanced behavioral health services to residents and visitors in the Central Valley. The new hospital will employ more than 250 people, including clinicians, nurses, mental health technicians, support staff and administration.

We are currently seeking a forward thinking and compassionate Business Office Coordinator to be part of our Business Office Team. The Business Office Coordinator is responsible for verifying benefits and eligibility on admission inquiries, preparing admission folders, collecting co-pays/deductibles from patients, assisting with establishing effective and timely payment plans, coordinating with utilization review and discharge planning efforts to limit risk of non-payment, providing ongoing patient benefit information, participating in patient discharge procedures, and coordinating financial arrangements with collection personnel. Assist business office in collection calls to insurance companies and patients to maximize reimbursement from account receivable balances.

QUALIFICATIONS

Education: High school graduation, or equivalent.

Experience: One (1) year of experience in admission processes and collections procedures, and a working knowledge of managed care; interpretation of insurance coverage plans, co-payments and deductible schedules and payment plans.

Skills: Knowledge of computers and business software programs (Excel) preferred; Skilled in Microsoft software programs; Ability to compile data for use in reports, review database records.

Additional Requirements: May be required to work occasional overtime and flexible hours.

PRIMARY RESPONSIBILITIES

1. Upon receipt of an intake inquiry form, verifies eligibility and benefits for all admissions.
2. Communicate benefits information and co-payments to patients and families prior to admission.
3. Obtain after-hours admission files from the A&R department each morning if not delivered, with any exceptions approved by the office management.
4. Maintain ticker filing system for authorizations and benefit expiration; and communicate on a daily basis with the Business Office Director.
5. Ensure all pre-admission and admission calls and paperwork are addressed and completed in an accurate and timely manner:
1. Contact the appropriate agencies to obtain treatment authorization numbers, reimbursement structure, and patient eligibility.
2. Conduct a financial interview with the patient/family prior to admission based on insurance verification; calculate the amount of deposit necessary and collect the deposit or makes arrangements for payment.
3. Verify employment and insurance information.
4. Complete the telephone profile of insurance benefits in a timely fashion.
5. Assure that all admission forms are completed accurately and appropriate signatures are
   obtained.
6. Assign the correct financial class and adjust financial class as required.
7. Notify the appropriate facility management of any potential problems related to admission or payment.
8. Obtain a deposit and explain benefits and financial obligations within 48 hours of admittance, with all exceptions approved by the Controller.
9. Complete a demographic pre-certification if required.
6. Complete the admission folder within one working day of admission, and schedule all critical dates for appropriate follow up:
1. Provide admission folder to the appropriate facility management for review within one working day of admission.
2. Ensure written confirmation of benefits and eligibility is sent to the primary and secondary insurance carrier and scheduled for follow up.
7. Provide financial counseling to patient and/or guardian or assigned responsible party:
1. Contact patient or assigned contact within 48 hours to make payment arrangements and to obtain deposits if not done prior to admission, with all exceptions approved by Business Office Director.
2. Serve as a patient liaison between the family or assigned parties, and business office case management staff.
3. Obtain the financial worksheet and income proof, as required, prior to discharge.
4. Complete timely and effective payment arrangements prior to or upon discharge whenever possible.
5. Participate in completing appropriate paperwork for patient discharge, and coordinate patient financial arrangements.
8. Maintain all in-house accounts in a current and accurate manner:
1. Review all in-house accounts and clearly documents the status of the file regarding all financial and legal issues. Complete all required information.
2. Clearly document all activity occurring during the admission as it pertains to eligibility, benefits, reimbursement and required signatures.
9. Coordinate with other departments within the facility to assure appropriate usage of patient benefits:
1. Coordinate with the case management staff to determine benefits for reduced level of care (i.e. day care, outpatient).
2. Coordinate with case management staff and physicians/licensed practitioners for treatment extensions when appropriate, as well as coordinating coverage limits and other length of stay issues for patients.
10. Provide back-up support to the receptionist/switchboard as required.
11. Complete third party follow up on outstanding insurance claims daily through contact with payers.
12. Meet with management on regular basis to discuss account receivable balances.
13. Adhere to facility, department, corporate, personnel and standard policies and procedures.
14. Attend all mandatory facility in-services and staff development activities as scheduled.
15. Adhere to facility standards concerning conduct, dress, attendance and punctuality.
16. Support facility-wide quality/performance improvement goals and objectives.
17. Maintain confidentiality of facility employees and patient information.

Note: The essential job functions of this position are not limited to the duties listed above.

KNOWLEDGE, SKILLS, AND ABILITIES

1. Knowledge of admissions processes and procedures.
2. Knowledge of insurance coverage, co-payments and deductibles.
3. Knowledge of all code procedures.
4. Knowledge of computers and business software, including Excel.
5. Knowledge of managed care.
6. Knowledge of payment planning and billing techniques.
7. Skill in organizing and prioritizing workloads to meet deadlines.
8. Skill in telephone etiquette and paging procedures.
9. Effective oral and written communication skills.
10. Ability to communicate effectively with patients and co-workers.
11. Ability to adhere to safety policies and procedures.
12. Ability to use good judgment and to maintain confidentiality of information.
13. Ability to work as a team player.
14. Ability to demonstrate tact, resourcefulness, patience and dedication.
15. Ability to accept direction and adhere to policies and procedures.
16. Ability to recognize the importance of adapting to the various patient age groups (adolescent, adult and geriatric).
17. Ability to work in a fast-paced environment.
18. Ability to meet corporate deadlines.
19. Ability to react calmly and effectively in emergency situations.

PHYSICAL, MENTAL, AND SPECIAL DEMANDS

1. Ability to work a 40 hour week.
2. Ability to sit for long periods, up to 8 hours.
3. Ability to use both hands in fine manipulation of small tools (copier, computer, telephone,
   typewriter, calculator, safe, facsimile machine).
4. Ability to push and pull up to 10 pounds. (file cabinet drawers, computer payer boxes).
5. Ability to see well enough to read handwritten and typewritten material.
6. Ability to lift and carry up to 25 pounds to move transfer file boxes, data processing paper and newly admitted patients' belongings, as required.
7. Ability to frequently reach, turn, and twist above and below the waist daily to retrieve files from top shelves to get office supplies from upper shelves in supply closet.
8. Ability to retrieve files from bottom shelves and drawers and to move boxes of paper and forms to computer printer.
9. Ability to spend 90% working time in an environment of continuous low voices and office machine noise typical for business office atmosphere.
10. Ability to handle a variety of repetitive tasks.

Additional Requirements:

A strong knowledge of The Joint Commission, HCFA, OSHA regulations, and patient rights standards and all other applicable federal and state laws and regulations governing mental health care facilities.

One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. UHS is recognized as one of the World's Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies.

EEO Statement:

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice:

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: or .