Job Title: Financial Specialist

Reports To: Admissions Manager

The Purpose of Your Role

The Financial Specialist is responsible for observing patient days and pending denial logs. Utilizing the logs to provide families an opportunity to continue clinically recommended lengths of stay. The Financial Specialist will be a bridge between our admissions, UR and billing teams. The Financial Specialist plays a critical role in optimizing patient care and financial outcomes by actively monitoring patient days and pending denial logs. By diligently reviewing these logs, the Financial Specialist can proactively identify opportunities to support families in securing continued care, aligning with the clinically recommended lengths of stay. This proactive approach helps to prevent premature discharges and ensures that patients receive the full extent of necessary treatment.

Furthermore, the Financial Specialist serves as a vital liaison between the admissions, utilization review (UR), and billing teams, facilitating seamless communication and collaboration. By bridging these departments, the Financial Specialist can ensure that all parties are aligned on patient care goals and financial considerations. This collaborative approach helps to streamline processes, minimize delays, and optimize reimbursement.

Our Investment in You

• Base pay starting at $18/hour and increasing DOE
• 401k match
• Core benefits: medical/dental/vision, with the company contribution to medical
• Company-paid employee life insurance
• Voluntary benefits
• Paid time off includes 15 days (120 hours) of “Paid Time Off”, 5 days (40 hours) of “Sick Time”, and 9 days (72 hours) “Company holiday” pay
• Paid specialized ongoing training, strengthening your skills, experiences, and connections that will help advance your career

Success Indicators/KPIs

• Ensuring 100% of new admissions have an automated payment plan set up for out of pocket costs or the client pays in full prior to their first day of programming.

• Respond to 100% of conflict and financial inquiries within 24 hours.

• Manage and track 100% of the unauthorized days of treatment.

• Create a P&P manual for your role as well as a training plan for additional Financial Specialists who will be hired in time.

• Track and report on a weekly, monthly, quarterly basis your efficiency rating based upon your KPI’s.

Core Competencies

• An excellent work ethic and results-driven

• Proactive approach to identify gaps in financial processes and find more efficient solutions

• Maintains positivity with clients and co-workers

• Growth mindset to increase admissions and effectiveness in department

• Seeks for opportunities to share best practices, successes, and skills with co-workers

• Assists others by being helpful and sharing the workload

• Attend weekly Admissions meetings and update team on financial matters

• Be a proactive and positive contributor to the culture of the admissions team

Core Responsibilities

• Prepare paperwork for new admits.

• Track recurring payments for patients and provide invoice/receipts per transaction.

• Calendar and track all payments for follow-up including co-insurance, renewed authorized days, sessions and pt. responsibility.

• Track down declined credit cards for current and discharged patients.

• Monitor and update admissions, utilization review, and business office teams regarding any upcoming unpaid days.

• Maintain a business office checklist to ensure that all paperwork is included in patient folders.

• Ensure the billing department remains informed about outstanding balance and updates the billing department.

• Communicate with the admissions and billing departments on all potential or ongoing billing issues.

• Other duties assigned within the scope of employment.

The Skills and Expertise You Have

• Proficient knowledge of computers, including Microsoft Word, Excel, and other computer software

• Accurate and efficient electronic data entry

• Must be punctual and maintain excellent attendance

• Organized, detail-oriented, takes the initiative, and completes job responsibilities independently

• Multitask, problem-solve, interpersonal skills, and strong written and verbal communication skills

• Thrives in a changing work environment, including inside, outside, and loud noise level

Preferred Qualifications

• Bachelors degree in behavioral administration, management

• 2 years or more of billing experience

Disclaimer

OCD Anxiety Centers has not designed this job description to contain a comprehensive list of activities, duties, or responsibilities required of the employee. Furthermore, OCD Anxiety Centers reserves the right to change or assign new duties, responsibilities, and activities at any time, with or without notice.

Equal Employment Opportunity Commission (EEOC) statement

OCD Anxiety Centers is committed to providing equal opportunity for all employees and applicants without regard to race, color, religion, sex, national origin, age, marital status, sexual orientation, genetics, disability, political affiliation, personal appearance, family responsibilities, or any other legally protected class under federal, state, or local law. This applies to all aspects of employment, including recruitment, hiring, job assignments, promotions, working conditions, scheduling, benefits, wage and salary administration, disciplinary action, termination, and social, educational, and recreational programs.