Benefit Verification Manager in Franklin at Acadia Healthcare

Date Posted: 1/10/2020

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Franklin
  • Date Posted:
    1/10/2020

Job Description

Overview

Benefit Verification Manager

Acadia is a provider of behavioral healthcare services. At December 31, 2018, Acadia operated a network of 583 behavioral healthcare facilities with approximately 18,100 beds in 40 states, the United Kingdom and Puerto Rico. Acadia provides behavioral health and addiction services to its patients in a variety of settings, including inpatient psychiatric hospitals, specialty treatment facilities, residential treatment centers and outpatient clinics.



PURPOSE STATEMENT

Leads, trains and motivates a team of employees within the Central Business Office (CBO). This is a key role in the organization that is central to the success of the business office and company goals.

Responsibilities
  • Direct oversight of 8+ CBO employees ranging from Benefit Verification Specialist to Team Lead offering direction, strategy, and coordination.
  • Manages and tracks the productivity of the benefit verification team to ensure that patient coverage is correct in order to support timely and accurate billing.
  • Assigns and allocates resources as required to ensure division goals for aging and receivables are met as they relate to appropriate insurance verification.
  • Assists with benefit verification job duties as needed which may include: verification of patient insurance coverage, Track, fix, re-bill and follow-up on unpaid claims related to patient coverage; Contact insurance companies regarding denials related to insurance coverage; coordination with clinic, patient and insurance carrier to obtain authorization for services, appeal claims if necessary; assist patients with coverage and account questions in a professional manner.
  • Directing work, resolving conflict and fostering a healthy team work environment.
  • Work in coordination with other Billing Managers and Director to ensure that all processes are consistent throughout the team.
  • Prepare reports and analysis to monitor for trends and implement processes for overall improvement within the team.
  • Supervises and resolves issues relating to revenue cycle management including, contracting, patient coverage, policies, and procedures.
  • Maintains current knowledge of coding guidelines through the use of CPT, HCPCS II and ICD-10 materials.
  • Maintains payer plans based on contractual agreements and regulatory guidelines
  • Responsibilities include interviewing and selecting candidates that align with company culture and values.
  • Operates in a liaison capacity with the field operations and outside vendors, partners et al
  • Handles external inquiries such as audits, surveys etc.
  • Responsible for and maintains standards of company policies and procedures to ensure compliance and standardization at office level.
  • Assist other CBO leadership with review of revenue and collections in order to assist with issue resolution, process improvement and staff training.
  • Performs other essential duties as assigned.

Job Requirements

  • 3 recent years of experience in healthcare medical billing and patient benefit verification, required.
  • 2 years of Management/Supervisory experience, required.
  • Proven track record for improving process efficiencies and problem solving
  • Strong leadership skills with an ability to motivate direct reports