Patient Account Services, Counselor | Patient Access | Full Time | Variable Shift

UF Health•The Villages, FL

About The Position

Manage high dollar outpatient service accounts for the facility to ensure financial reimbursement. Assigned to services with complex procedures, these accounts require initial authorization and either constant monitoring for re-authorization of services (Adult and Peds Infusion, High Tech Radiology, Radiation Oncology and Therapy and others are approved) or spontaneous changing of procedures. Perform referral processing, registration, authorization/precertification as required and until treatment is complete, Point of Service Collections and posting within Epic, financial counseling, including referring patient to appropriate area(s) for assistance, calculates patient financial responsibility and provides estimate, monitor and maintain applicable EPIC work queues, maintains and balances EPIC cash drawer daily. Secures approvals from third party payers by providing detailed clinical information and/or coordinating peer-to-peer reviews. Secures signatures on regulatory documents. Represents the Financial Division as a member of various intra-operational teams, providing financial perspectives required to make treatment or rescheduling decisions.

Requirements

High school diploma or equivalent required
Minimum of 1 year of experience as a financial specialist/counselor required, or 3 years of related experience
Working knowledge of medical and insurance industry terminology required
Demonstrated ability to: Perform multiple tasks simultaneously, Adapt to changing priorities, Make timely and accurate judgment decisions, Work independently with minimal supervision
Effective communication skills with healthcare professionals
Proficiency with computer applications and ability to work across multiple systems
Exceptional verbal, analytical, and written communication skills
Ability to remain calm and professional under pressure and in stressful situations
Must demonstrate professionalism, including appropriate dress, attitude, and understanding of being a “first impression” position

Nice To Haves

College degree or related coursework preferred

Responsibilities

Manage high dollar outpatient service accounts for the facility to ensure financial reimbursement.
Perform referral processing, registration, authorization/precertification as required and until treatment is complete
Point of Service Collections and posting within Epic
Financial counseling, including referring patient to appropriate area(s) for assistance
Calculates patient financial responsibility and provides estimate
Monitor and maintain applicable EPIC work queues
Maintains and balances EPIC cash drawer daily
Secures approvals from third party payers by providing detailed clinical information and/or coordinating peer-to-peer reviews
Secures signatures on regulatory documents
Represents the Financial Division as a member of various intra-operational teams, providing financial perspectives required to make treatment or rescheduling decisions.