Patient Financial Advisor - OBGYN Fertility Clinic
About The Position
The Patient Financial Advisor for the Reproductive Endocrinology and Infertility (REI) clinic provides financial assistance to patients and families throughout the health system. The role helps patients understand benefits, complete prior authorizations and pre-certifications for office procedures, and find funding resources for fertility cycles not covered by insurance. The advisor also answers questions about coding and insurance claims, supports timely clinic billing and documentation review, and performs charge entry and review. The position maintains productivity, quality, and customer-service standards established by department policy and procedure. 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 speed of 45 words per minute.
- Ability to perform the professional, clinical, or technical competencies of the assigned unit or department.
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 ask about coverage and benefits, including health insurance, COBRA, VA benefits, Medicaid, and Medicare, and 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 the daily WQS of unsecured accounts, taking appropriate actions through phone calls, written communication, and applicable codes and time frames.
- Assist walk-in customers and respond to customer-service calls and questions.
- Handle point-of-service collections and document 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 to patients related to the REI specialty.
- 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 productivity, quality, and customer-service requirements according to department policy and procedure.
- Perform other duties as assigned; duties may vary by department or unit.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
