Patient Financial Counselor- Hybrid in CT

Job Description

Job Description

Ria Health, recognized as the leading national telehealth provider specializing in alcohol use disorder (AUD) treatment, recently raised $12.5 million through a Series B financing led by Peloton Equity. Our existing investors SV Health, BPEA and SOSV also participated in the Series B. The investment will further the momentum of commercial partnerships that include regional and national health plans, including Anthem Blue Cross Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and Magellan Health. Ria Health will enable patients to achieve long term success in reducing or eliminating their alcohol consumption, and live healthier and happier lives. We are seeking a Clinical Intake / Triage Nurse to join our rapidly growing team.

JOIN THE RIA HEALTH TEAM!

Join the team that integrates medical care, behavioral support, and technology tools to help members achieve their personal goals in treating heavy alcohol use and addition. Ria Health delivers a Joint Commission accredited program that leverages evidence-based pharmacotherapy, targeted protocols, and a technology platform to help members achieve lasting improvements in their quality of life. Ria’s published outcomes data set the standard for effectiveness in alcohol treatment. The Ria program is delivered through telehealth and partners with physicians and nurse practitioners to provide clinical expertise and manage care and outcomes for Ria Health members.

WORK AT RIA HEALTH AS A Patient Financial Counselor Ria Health is seeking a Patient Financial Counselor.

This is a hybrid role based in Connecticut, requiring a few in-office days each month.

PRINCIPLE DUTIES and ESSENTIAL RESPONSIBILITIES

• Obtain authorizations for UHC members, as well as any future payers who require an authorization.
• Basic knowledge on how to submit prior authorization requests to insurance carriers.
• Obtains and tracks authorizations as required by payers.
• Responsible for all patient communication (Both via the phone or application) that is related to billing issues.
• Responsible for patient Accounts Receivable.
• Assess patient balances to ensure accurate billing and provide follow-up on patient balances.
• Responsible for the upcoming appointment list to see if patients have an open balance.
• Responsible for the inactive COF report.
• Responsible for all assigned worklists related to patient issues.
• Responsible for the Self Pay Collection Worklist.
• Responsible for the Billing Worklist. (customer service)
• Responsible for working the Correspondence Unpostable list for Patient Statement Review.
• Responsible for patient refunds related to Commercial patients.
• Responsible for patient insurance eligibility issues.
• Basic knowledge of how to perform timely insurance benefit verifications to determine eligibility and cost-share amount for new and existing patients.
• Understand payer contract and billing requirements.
• Regularly review contract terms and conditions to confirm billing accuracy.
• Responsible for creating patient payment plans when deemed appropriate.
• Maintain a high degree of professionalism in all daily correspondence.
• Proficient computer skills to navigate quickly through our practice software system.
• Other duties and responsibilities as directed by the Manager.
• Maintain HIPAA guidelines and high level of discretion due to the sensitivity of information.

Required skills and experience :

MAKE AN IMPACT AT A CRITICAL TIME

The pandemic has caused a global crisis; there has been a tremendous increase in anxiety, trauma, and stress for millions of people, increasing the misuse of alcohol. As a result, Ria Health has experienced a 500% increase in demand from patients seeking a specialized treatment program for alcohol misuse. We seek team members motivated to provide high-quality, patient-centered, evidence-based care through telemedicine that improves the health and wellbeing of the people we support.

ENJOY MANY RIA HEALTH BENEFITS

This is a hybrid role based in Connecticut, requiring a few in-office days each month.

EQUAL EMPLOYMENT OPPORTUNITY

Ria Health provides equal employment opportunities to all employees and applicants for employment. It prohibits discrimination and harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Ria Health Vision :

A world with accessible, compassionate, and effective treatments to reduce the burden of all those who suffer from Alcohol Use Disorder.

Ria Health Mission :

We combine medical science, technology, and human compassion to deliver private, evidence-based, telehealth alcohol treatment programs for anyone who wants to drink less and live better.

Ria Health Values :

Compassion – we promote a culture of empathetic care and communication. We actively listen, we always encourage, and we provide support.

Integrity – We are honest, open, ethical, and fair. We hold ourselves accountable when we make mistakes.

Teamwork – working together, we will achieve great things.

Embrace Change – we work to drive improvement over perfection, measuring and questioning the status quo to make progress and enhancement.

Always Learning – We celebrate curiosity and discovery through development and research.