PATH (People Acting to Help) Inc. is a comprehensive Community Behavioral Health and Intellectual Disability Center. We offer a wide of array of services and supports to meet the needs of our community in Northeast Philadelphia. PATH regularly achieves the highest levels of accreditation including a 5 Star Provider Rating by CBH, Philadelphia’s Managed Care Entity, and recognition and awards related to our high-quality, innovative programs and staff accomplishments and contributions.
Our Mission? To Help Individuals Achieve a More Independent and Fulfilling Life.
WHY WORK AT PATH?
PATH understands the importance of having benefits, and so a comprehensive package is offered to our employees including:
A company sponsored 403b retirement plan, Health Insurance (Medical Services, Prescriptions, Dental & Vision), Sick Leave, Personal & Vacation Time, Paid Holidays, Life Insurance, and Long-Term Disability!
JOB SUMMARY:
To promote the mission of PATH to help individuals achieve a more independent and fulfilling life by being an effective team member. Obtain financial information from clients to assess their ability to pay for service, including sliding-scale for Self-Pay clients. Post all charges as related to liability tasks. Review existing clients on a regular basis to ensure on-going coverage. Collect co-pays for Self-Pay, Medicaid Fee-For-Service and Medicare clients. Provide Accounts Receivable staff with information needed for billing Guarantors.
QUALIFICATIONS:
- High School Diploma
- Two years increasingly responsible experience with medical or behavioral healthcare insurance coverage determination of clients.
- General knowledge of insurance terms and practices.
- Knowledge of MA billing and third-party billing.
- Experience dealing with the public in person and by telephone.
SPECIFIC DUTIES:
- Interview new clients to determine coverage, if any, and complete financial application to determine client liability based on the Sliding Fee scale.
- Compute client liability for services based upon the information provided and EVS status.
- Enter client registration information in the computer.
- Add/update client liability and/or funding status in the computer.
- Upon completion of initial eligibility, mail packet of signed forms along with all other documents as determined if the interview is completed by telephone.
- Run EVS for scheduled clients and on a regular basis for all clients.
- Inform supervisor of funding source discrepancies.
- Complete liability waiver form for BH Director to approve and sign, if appropriate.
- Collect co-pays for Sliding Fee clients.
- Collect deductibles and co-pays for clients who have Medicare coverage only.
- Collect deductibles for clients who have Medicaid Fee-For-Service coverage (General Assistance).
- Update client data in computer as it becomes available.
- Perform all other duties as assigned.
PHYSICAL DEMANDS:
Minimal in nature.