Job Description

Job Summary:
Responsible for securing payment solutions for uninsured / underinsured patients to enable them to meet their financial obligations. Ensures the integrity of all data collected at time of service to ensure accurate patient identification / benefits information and personally collects and/or facilitates the accurate and timely payment for services provided by leveraging available private / public insurance solutions. Delivers superior internal and external customer service.
  • Screens all self pay patients, identifies solution(s) and facilitates patient payment and/or solution application process (manual and/or electronic)
  • Collects and verifies patient demographic, insurance eligibility, and financial information/responsibility and accurately documents in hospital computer system(s)
  • Follows up and obtains all documentation required for application processing and accurately enters information into hospital and external systems as appropriate
  • Identifies via workflow technology current and prior patient responsible balances, educates patients on their financial responsibilities, and collects same
  • Assists patients in establishing secured installments plans when applicable
  • Interviews patients bedside as needed to facilitate timely and effective payments and/or complete insurance solution application process
  • Monitors, manages and actively follows up on active large self pay and long length of stay accounts ensure solutions / solution modifications in place for patients and optimize ultimate payment for the hospital.
  • Establishes schedule for "walk in" insurance assistance applicants and facilitates application process for same
  • Fields patient billing inquiries and refers to appropriate PFS staff for resolution
  • Responsible for consistent and accurate use and execution of department SOP's (established operating procedures) and supporting tools, software, websites
  • Meets performance standards established by Patient Access leadership, including but not limited to: quality, collections, customer service, screening/solution rates, productivity)
  • Keeps current with all internal and external policy and procedures that may affect reimbursement
  • Works effectively with patient access peers and other hospital departments
  • Delivers exemplary customer service for patients in accordance with hospital expectations / guidelines
  • Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
  • Commits to recognize and respect cultural diversity for all customers (internal and external).
  • Communicates effectively with internal and external customers with respect to differences in cultures, values, beliefs and ages, utilizing interpreters when needed.
  • Performs all other duties as assigned.
  • Associate's degree preferred. High School Diploma or equivalent required.
  • 2-3 years in hospital registration/billing office/clinic with a current working knowledge of registration, insurance, and billing requirements.
  • Maintains working knowledge of private, public and third-party payer insurance and related regulations
  • Competent utilizing Microsoft office, e.g., Excel, Access, PowerPoint, and Word (see below)
  • Familiarity and experience with Revenue Cycle Software, tools and technologies
  • Analytical, e.g. competent math skills (see below)
  • Advanced knowledge of healthcare finance
  • Knowledge of medical terminology
  • Excellent customer service/communication skills required.
  • Ability to work with a high degree of confidentiality.
  • Aptitude / familiarity with the tools, systems, and technologies to enable insurance verification and facilitate insurance solutions
  • Knowledge of health insurance and reimbursement/billing required
  • Ability to problem solve and follow through under ambiguous circumstances

Application Instructions

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