Patient Financial Services Coordinator

Summit Orthopedics•Woodbury, MN

11h•Hybrid

About The Position

At Summit Orthopedics, we recognize the impact each member of the Summit Family has on one another and on our patients every day. Join a patient-first environment where our values — B etter together, O wn it, N imble, E xcellence, and S ervice — are lived down to our BONES. At Summit, team members feel respected, valued, and connected to meaningful work, contributing to a collaborative, community-centered culture built on mutual respect and enjoyment. The Patient Financial Services Coordinator (PFSC) is responsible for verifying patients’ eligibility and benefits, obtaining authorization and /or referrals for patient encounters/procedures from their insurance company or referring provider; gathering current out-of-pocket and deductible information, securing patient responsibility prior to services and managing charity care and/or discount requests. This is a full time role based at our Corporate Office in Woodbury, MN. Monday - Friday schedule of 8:00 AM to 4:30 PM. Required training is in office with the ability to work from home once fully trained.

Requirements

Verifying patients’ eligibility and benefits
Obtaining authorization and /or referrals for patient encounters/procedures from their insurance company or referring provider
Gathering current out-of-pocket and deductible information
Securing patient responsibility prior to services
Managing charity care and/or discount requests

Responsibilities

Create payment arrangements for uninsured patients and patients on high deductible plans for all physician visits prior to services.
Verify by phone, web, or in writing the prior authorization expectations as well as eligibility of the patients’ insurance for the following medical encounters/procedures MRIs-using decision tools and phone/internet when necessary Work Comp, Auto, Med Legal and any other required referral clinic visits Professional Fee for surgical procedures as well as facility fee for procedures performed at Summit locations
Obtain and enter pre-certification and/or prior authorization numbers into the registration fields and scan in Practice Management/EHR software.
Review and correct discrepancies in registration and insurance information and update in the Practice Management Software at time of authorization.
Assist patient with medical assistance and charity care applications, counsel patients on options such as care credit.
Maintain current knowledge regarding third-party and first-party payment procedures and regulations as well as preferred provider agreements.
Communicate professionally with patient, family members, co-workers and physicians.