Financial Assistance Specialist

Renown Health•Reno, NV

About The Position

Performs financial specialist functions by accurately gathering demographic, sponsorship or guardian, insurance, financial, and statistical information from patients, families, physicians and their staff, and government agencies. For patients without a payer source, screens them and assists with applications for government, local or charity programs and Renown’s Financial Assistance Program (FAP). Conducts comprehensive financial screenings in person or by telephone to identify potential payer sources, including commercial insurance and federal, state, and county assistance programs, and follows through on appropriate applications in a timely manner. Screenings are performed before admission whenever possible. The role helps ensure accounts are financially secured and reviewed to avoid denied days and lost reimbursement, while providing an expeditious, compassionate, patient-friendly process. Coordinates and communicates information about the financial assistance process, including timely notifications and application submissions to appropriate government entities and the FAP Committee. Works with the interdisciplinary team, such as Case Management, Social Services, and Nursing, to support a seamless admission and discharge process. Maintains account documentation and demonstrates professionalism in accordance with Renown Health’s values. This position does not provide patient care.

Requirements

Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively.
Ability to perform intermediate math skills.
Understanding of medical terminology.
Proficiency with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word.
Ability to use a computer for online learning, accessing forms and policies, benefits enrollment, and other job-related tasks.

Nice To Haves

Bachelor’s degree preferred.
Bilingual Spanish candidates are preferred.
Two years of experience in commercial medical insurance benefits and eligibility verification, Medicaid screening, applications or eligibility, charity applications and qualification, medical claims processing, or medical financial counseling preferred.
Hospital business office claims processing, medical claims follow-up, or medical professional office experience involving customer-service financial interactions highly preferred.
Experience with the EPIC system preferred.

Responsibilities

Gather and accurately enter demographic and financial information into the computer system.
Identify insurance payer sources and payer order sequence, verify insurance eligibility and benefits, and provide timely insurance notification.
Determine estimated financial responsibility for services and identify and collect patient obligations, including co-payments, co-insurance, and deductibles.
Screen patients for potential payer sources and facilitate financial assistance applications for appropriate patients, including pre-admission screenings, bedside visits, and walk-ins.
Follow up with patients to obtain supporting documentation for applications.
Document all work activity in the appropriate patient-account systems and maintain communication with patients, representatives, family members, Renown staff, and government entities.
Review FAP applications and verifications, document them in applicable accounts, and submit them for FAP Committee review and processing.
Monitor financial assistance cases through completion, including cases processed by the FAP Committee.
Complete documentation justifying adjustments for processing by the Central Business Office.
Ensure accounts are accurately noted for FAP eligibility and that financial resources have been exhausted.
Follow up with patients denied financial resources to obtain their cooperation with Financial Assistance.
Collect patient co-pay balances when patients are determined eligible for FAP and provide the FAP application.
Coordinate with the interdisciplinary team, including Case Management, Social Services, and Nursing, to support seamless admission and discharge.
Ensure timely coordination, accurate communication, and submission of applications to appropriate government entities.