Job Description

Why Behavioral Health?

As our lives change from one extreme to the next, as stress becomes part of our daily routine, and addiction continues to grow across the nation, the need for behavioral health care grows in society. Are you looking for an opportunity to help others and make a difference in the world? If so, we encourage you to explore this opportunity with Haven Behavioral Health.

About Haven Behavioral Hospital of Phoenix:

Haven Behavioral Hospital of Phoenix is a 58-bed licensed, acute care behavioral hospital that provides a safe, nurturing environment for the treatment of complex mental health issues. We offer innovative, customized treatment in both inpatient and outpatient programs for individuals struggling with mental health and substance abuse issues. We believe that a person’s illness or addiction does not define them, and with help, there is hope for long-term recovery.

Our care focuses on the whole person. Through a customized, team-based approach to mental health and addiction treatment, we help patients build on their strengths using expert strategies in an inpatient setting. Our hospitals are committed to the highest standards of quality, safety, and performance. We don’t just treat the symptoms of mental illness or addiction—we focus on the whole person.

Position Summary:

The Business Office Manager manages all Business Office, Accounting, and Utilization Review processes at the facility and acts as the liaison between the facility and corporate financial operations. This role is critical to ensuring the financial and operational success of the hospital.

Primary Duties:

Business Office:

• Act as a member of the hospital’s leadership team and participate in weekly meetings to discuss matters of significance to the operation.
• Gather patient demographic information and primary/secondary insurance coverage details through interviews with patients, families, external agencies, and referring hospitals.
• Verify insurance benefits and communicate verified insurance information to facility staff in a timely and complete manner.
• Initiate completion of required paperwork and coordinate with the Centralized Business Office (CBO) on denials or other account-related issues.

Authorization and Financial Counseling:

• Develop and implement systems for the authorization, concurrent, and retrospective review of inpatient admissions and services.
• Ensure admission authorization is obtained and documented per facility protocols.
• Accurately enter patient information into the patient accounting system and calculate patient financial liability using verified insurance information.
• Collect patient deductibles and co-insurance prior to discharge.
• Obtain authorization for each admitted patient and monitor the authorization process to proactively identify potential issues.
• Interact with physicians and therapists to ensure patient assessments and treatment plans are accurately reflected in facility documentation.

Payer Contact:

• Contact payer representatives for all newly admitted patients to confirm coverage determination.
• Maintain ongoing contact with payer representatives and provide requested information in a timely and complete manner.

Accounting:

• Process purchase requests using established procedures and vendors.
• Maintain logs of purchases and other spreadsheets as required by Corporate Accounting or the CBO.

Utilization Review:

• Help patients access the full range of their benefits through the utilization review process.
• Enter and maintain denial information in the Haven Denial Tool.
• Minimize appeals through effective and accurate concurrent reviews.
• Monitor authorization for continued stays and initiate the appeal process when payment is denied due to clinical concerns.
• Draft and submit appeal letters for denied claims in a timely manner to achieve successful resolutions.

Other Responsibilities:

• Work collaboratively as a member of both the facility team and the CBO team.
• Supervise staff and ensure the quality, efficiency, and effectiveness of services delivered.
• Serve as Administrator on Call as assigned.
• Perform other duties as assigned.

Qualifications:

• Education: Bachelor’s Degree in Business Administration or a related field preferred, or four years of equivalent work experience required.
• Experience:
• Two (2) years of clinical experience in a psychiatric facility with knowledge of medical terminology and criteria for acute psychiatric inpatient care.
• Knowledge of insurance coverage and billing practices preferred.
• Three to five years of business office experience, preferably in a healthcare or behavioral health setting.
• Advanced knowledge of Microsoft Excel.
• Working knowledge of Medicare/Medicaid and the insurance verification process.
• Previous experience in utilization review or case management required.

Join Our Team:

If you are passionate about making a difference in the lives of individuals struggling with mental health and addiction issues, we invite you to apply for this rewarding opportunity. At Haven Behavioral Health, we are committed to providing hope, healing, and recovery to those we serve.

Compensation and Benefits

We offer a competitive salary, comprehensive benefits package, and opportunities to grow with a team committed to transforming lives.

Come Grow With Us!

Please be aware that fictitious job postings, consulting opportunities, solicitations, or employment offers may be circulated online in an attempt to obtain sensitive information or convince you to pay fees for recruitment or training services. Haven Behavioral Healthcare does NOT charge any application, processing, or training fees at any stage of the recruitment or hiring process. All legitimate job openings will be posted on our official careers page, and all communications from the Haven Behavioral Healthcare recruiting team or hiring managers will come from an email address ending with @havenllc.com .

Haven Behavioral Healthcare is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce.

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