Financial Services Associate II

CommonSpirit Health • San Luis, CA

1d • Onsite

About The Position

As a Financial Professional, you will apply financial expertise to support strategic goals and optimal fiscal health. Every day you will analyze financial data, interpret complex information, and communicate findings or recommendations to stakeholders, ensuring accuracy and compliance in financial processes. To be successful in this role, you will demonstrate strong analytical skills, meticulous attention to detail, and excellent communication abilities to guide informed financial decisions. Maintains current knowledge of and adheres to payer and regulatory guidelines for medical insurance claims processing and reimbursement. Interviews patients to obtain, clarify and verify all demographic and insurance information and determines status of financial clearance, as needed. Identifies and obtains required pre-certifications, authorizations, and/or referrals and enter all information in the appropriate registration and billing systems Performs verification of benefits, either electronically or by telephone, according to PHC procedures and guidelines Analyzes patients ability to meet financial obligations and sets up appropriate payment plans. Identify insurance guidelines and communicate necessary steps to clinic staff, including physician

Requirements

• High School Graduate General Studies, or High School GED General Studies
• 1-3 years experience as a FSA I or equivalent experience working in an outpatient/physician office environment including financial counseling, insurance verification and authorization.

Responsibilities

• Analyze financial data, interpret complex information, and communicate findings or recommendations to stakeholders, ensuring accuracy and compliance in financial processes.
• Maintain current knowledge of and adhere to payer and regulatory guidelines for medical insurance claims processing and reimbursement.
• Interview patients to obtain, clarify and verify all demographic and insurance information and determine status of financial clearance, as needed.
• Identify and obtain required pre-certifications, authorizations, and/or referrals and enter all information in the appropriate registration and billing systems.
• Perform verification of benefits, either electronically or by telephone, according to PHC procedures and guidelines.
• Analyze patients' ability to meet financial obligations and set up appropriate payment plans.
• Identify insurance guidelines and communicate necessary steps to clinic staff, including physicians.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees