About this position
ABOUT PATH INC.
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?
A Career with Meaning
At PATH, our team members are at the heart of what we do, so we work hard to give them the best reasons to work here — and to stay here.
In addition to the satisfaction of making a real difference in people's lives, we offer:
• Competitive pay
• Annual increases
• Performance and longevity bonuses
• Comprehensive benefits package for staff and family
• Generous number of paid holidays, vacation, sick, and personal time
• No-cost pension plan
• Ongoing professional development opportunities, including licensure supervision
• Cutting-edge treatment facility, resources, and treatment modalities
• Opportunities for advancement and growth within the organization
• Eligible for the Federal Public Student Loan Forgiveness (PSLF) program
• Referral bonus for referring a friend who accepts employment
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.
- COVID-19 vaccination, or willingness to receive vaccine required.
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.
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.