Patient Financial Advisor - OBGYN Fertility Clinic
About The Position
The Patient Financial Advisor for the Reproductive Endocrinology and Infertility clinic provides financial assistance to patients and families across the health system. The role supports benefit review, prior authorizations, and pre-certifications for in-office procedures; helps patients find funding resources for non-covered fertility cycles; answers questions about coding and insurance claim processing; and assists the clinic with timely billing and documentation review. The advisor also performs charge entry and charge review while meeting departmental productivity, quality, and customer-service standards. The schedule is 8:00 a.m. to 4:00 p.m., Monday through Friday, with no holidays or weekends. Parking is free and close to the office.
Requirements
- High school graduate or GED.
- At least 3 years of experience in financial advising, claims processing, collections, customer service, or revenue cycle positions involving admitting, patient accounting, prior authorizations, or pre-registration.
- Ability to multitask, prioritize, and escalate.
- Good oral and written communication skills.
- Typing skills of 45 words per minute.
Nice To Haves
- Experience with Epic.
- CPT-4 and HCPCS coding knowledge.
- Knowledge of commercial and government insurance.
- Knowledge of payer websites.
- Knowledge of Reproductive Endocrinology and Infertility.
- Working knowledge of CMS regulations.
- Proficiency in Microsoft Word and Excel.
Responsibilities
- Contact patients or families by phone or in person to discuss coverage and benefits, including health insurance, COBRA, VA benefits, Medicaid, or Medicare.
- Comply with Medicare and Medicaid rules and regulations.
- Update patient account and demographic information.
- Review accounts within one business day to ensure verification and pre-certification are complete and accurate.
- Work daily WQS unsecured accounts, taking appropriate action through phone calls, written communication, and applicable codes and time frames.
- Assist walk-in customers and respond to customer service calls and questions.
- Collect point-of-service payments and document them in EPIC when applicable.
- Perform benefit verification, pre-certification, and prior authorization for patient services.
- Perform charge entry and reconcile physician billing.
- Explain benefits and services related to the REI specialty to patients.
- Assist the Revenue Cycle team with claim denials when requested.
- Handle cryopreservation billing and payment collection.
- Provide clinical outcomes to required insurance companies.
- Provide patients with appropriate documentation for outside grant and scholarship applications.
- Maintain departmental productivity, quality, and customer-service requirements.
- Perform other duties as assigned.
Benefits
- Free parking close to the office.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
