Patient Financial Counselor - Behavioral Health (Self-Pay & Insurance Balances) IN PERSON
The Patient Financial Counselor is responsible responsible for educating clients on insurance coverage and benefits, managing all aspects of patient billing, collections, and payment reconciliation for both self-pay services and patient-responsibility balances arising from insurance claims (including deductibles, co-insurance, and out-of-pocket amounts). This role plays a critical function in cash collections, financial accuracy, and patient communication within a behavioral health treatment setting.
The position requires a strong understanding of behavioral health billing workflows, insurance cost-sharing structures, and ethical collections practices, as well as hands-on responsibility for payment posting, check deposits, and bank-to-billing platform reconciliation.
Key Responsibilities – Patient Billing (Self-Pay & Insurance Balances)
- Generate and issue accurate patient invoices for self-pay services and insurance-related patient responsibility balances
- Review explanation of benefits (EOBs) to ensure balances are calculated correctly
- Validate billing against patient financial agreements and admission documentation
- Identify and resolve billing discrepancies prior to invoicing
- ability to use Excel and medical billing platforms are essential for this position.
Collections & Account Follow-Up
- Manage patient accounts receivable for self-pay and insurance balances
- Communicate with patients and families regarding balances and payment expectations
- Establish and monitor payment plans
- Follow escalation workflows for delinquent accounts
- Apply payments accurately and timely
Payment Processing, Deposits & Reconciliation
- Collect payments via check, ACH, credit card, or approved methods
- Prepare and process check deposits in accordance with internal controls
- Post and apply payments within the billing platform
- Reconcile bank transactions to billing records and resolve variances
Documentation, Controls & Compliance
- Maintain detailed audit trails for all billing and collections activity
- Ensure compliance with HIPAA and internal financial controls
- Support audits and month-end close processes
Cross-Functional Collaboration
- Coordinate with admissions, clinical, and finance teams
- Work with insurance billing teams regarding claim status
- Identify process improvement opportunities
Qualifications
Required:
- 5+ years healthcare billing or collections experience, including Collaborate MD claims system
- Experience with patient responsibility balances
- Experience with payment posting and reconciliation
Preferred:
- Behavioral health experience
- Familiarity with PHP, IOP, residential, or outpatient billing
- Experience with EHR and billing platforms
Background Screening Requirement
Employment is contingent upon successful completion of a Level II background screening through the Florida Background Screening Clearinghouse, as required by state regulation.
Applicants may review the Clearinghouse information here:
https://info.flclearinghouse.com
Job Type: Part-time
Pay: $25.00 - $30.00 per hour
Expected hours: 20 per week
Application Question(s):
- Have you worked in behavioral health billing previously?
Ability to Commute:
- Coral Gables, FL 33134 (Preferred)
Work Location: Hybrid remote in Coral Gables, FL 33134
