About The Position

The incumbent will help patients understand their financial responsibility by providing access to a variety of financial resources, via telephone, in-person, or bedside. Evaluates the financial situation of uninsured or underinsured cases and determines eligibility for financial assistance or payment options. Negotiates/collects deposits from insured patients (copayments, deductibles, and co-insurance), securing maximum patient reimbursement, and updating accounts accordingly. This incumbent will be responsible for meeting individual/departmental collection goals. Acts as a liaison between patients, their insurance company, and departments rendering service to maximize communication and productivity.

Requirements

  • High School Diploma is required.
  • A minimum of 2 years collection experience.
  • Complete and successfully pass the Patient Access training course.
  • Ability to multitask and work under pressure while still meeting stringent deadlines and maintaining focus on department goals.
  • Math and analytical skills.
  • Detail oriented, organized, team player, compassionate, excellent customer service and interpersonal communication skills (verbal and written).
  • Knowledge of regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA. and Medicare coverage structure, including medical necessity compliance guidelines.
  • Experience with computer applications (e.g. Microsoft Office, knowledge of EMR applications, etc.) and accurate typing skills.

Nice To Haves

  • Associates Degree.
  • CHAA Certification.
  • Knowledge and understanding of medical and insurance terminology, insurance contracts, authorizations/pre-certifications, ICD-10, and CPT codes.
  • Knowledge of components of the UB-04 form.
  • Bilingual English, Spanish/Creole preferred.

Responsibilities

  • Helping patients understand their financial responsibility.
  • Providing access to a variety of financial resources, via telephone, in-person, or bedside.
  • Evaluating the financial situation of uninsured or underinsured cases and determines eligibility for financial assistance or payment options.
  • Negotiating/collecting deposits from insured patients (copayments, deductibles, and co-insurance), securing maximum patient reimbursement, and updating accounts accordingly.
  • Meeting individual/departmental collection goals.
  • Acting as a liaison between patients, their insurance company, and departments rendering service to maximize communication and productivity.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Hospitals

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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