Patient Estimate Specialist

University Health • Northpoint, TN

23h

About The Position

The Patient Estimate Specialist is responsible for the accurate and timely preparation of patient estimates for scheduled services across University Health. The role serves as a subject matter resource for the Good Faith Estimate (GFE) process for uninsured and self-pay patients, as well as estimates for insured patients based on available insurance benefits, contracted rates, patient responsibility, and University Health pricing.

The specialist works closely with scheduling, Patient Access, Financial Counseling, clinical departments, coding, billing, and other Revenue Cycle teams to provide patients with clear and accurate information about anticipated financial responsibility before services. The role proactively communicates with patients about estimated balances and payment expectations and helps them identify available financial assistance or payment options.

The position requires knowledge of medical coding, insurance benefits, reimbursement methodologies, hospital and physician charges, and Revenue Cycle processes. The specialist reviews clinical services and associated codes to help ensure estimates accurately reflect the services expected to be provided.

Requirements

• Associate degree in a related healthcare, business, or Revenue Cycle field, or an equivalent combination of education and experience.
• Three years of experience in healthcare Revenue Cycle, medical billing, coding, patient estimates, financial clearance, or a related healthcare financial services function.
• Working knowledge of medical terminology, CPT/HCPCS coding, hospital and/or professional charges, insurance benefits, and patient financial responsibility.
• Strong understanding of medical coding and ability to review procedure and service information to support accurate patient estimates.
• Excellent verbal and written communication skills, including the ability to explain complex financial and healthcare information in simple, patient-friendly language.
• Professional demeanor and excellent customer service skills, particularly when discussing financial responsibility and payment expectations with patients.
• Excellent organizational skills and ability to manage multiple estimates, deadlines, patient contacts, and work queues.
• Strong attention to detail and ability to identify discrepancies in coding, charges, insurance benefits, and patient responsibility.
• Computer proficiency in Microsoft Office Suite, electronic medical record systems, estimating applications, and other Revenue Cycle systems.
• Ability to work independently and collaborate effectively with Patient Access, Financial Counseling, Coding, Billing, clinical departments, and other Revenue Cycle teams.

Nice To Haves

• Certified Professional Coder – Apprentice (CPC-A) or Certified Professional Coder (CPC) certification.
• Experience preparing Good Faith Estimates under the No Surprises Act.
• Experience preparing hospital and/or physician estimates for insured and self-pay patients.
• Experience with medical coding, charge capture, reimbursement, or claims processing.
• Experience with insurance benefit verification and calculation of patient financial responsibility.
• Cerner/Oracle Health or other electronic medical record experience.
• Experience with patient estimating, financial clearance, or Revenue Cycle estimating applications.
• Experience working in a hospital or academic medical center environment.

Responsibilities

• Prepare accurate and timely patient estimates for scheduled services across University Health.
• Serve as a subject matter resource for Good Faith Estimates for uninsured and self-pay patients and estimates for insured patients.
• Review clinical services and associated codes to ensure estimates accurately reflect expected services.
• Work with scheduling, Patient Access, Financial Counseling, clinical departments, coding, billing, and other Revenue Cycle teams.
• Communicate estimated balances and payment expectations to patients before services.
• Help patients identify available financial assistance or payment options.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree