Patient Financial Specialist-Admitting

About the position

This position is responsible for performing bedside visits, generating calls to obtain financial information from patients to assist in collecting private pay packaging, arranging payment plans for patient liabilities and POS upfront collections.

Responsibilities

• Conducts bedside visits and/or initiates phone calls with patients who have financial liabilities which include deductibles, co-pays, out of pocket coinsurance to secure timely payments on accounts.
• Educate patients on their insurance benefits and how their liability was calculated.
• Determines patient financial responsibility and eligibility through Insurance, Federal, State, and/or County government benefits.
• Contacts appropriate agencies to verify assumptions of liability.
• Investigates alternate payment sources for Self Pay patients.
• Negotiates cash flat rates on accounts where the patient has no linkage to government programs.
• Ensures accounts pending government eligibility have been approved and/or denied.
• Conducts follow up on status of financial applications.
• Acts as a liaison with Case Management, EMC Physicians, Social Services, Nurses and the Medi-Cal Contract worker.
• Reviews daily pre-admission, admissions, ED, and Inpatient census reports to identify patient's financial responsibility and/or missed opportunities.
• Obtains complete and accurate patient information including possible insurance and financial information.
• Documents all payor and financial information in STAR system.
• Reviews accounts for proper plan codes, financial class and patient type.
• Ensures that all required insurance authorizations/pre-certifications have been obtained.
• Checks the FAX machine throughout the day for any patient referrals requested by hospital staff.
• Assists patients with completion of Government Assistance Applications and/or Financial Assistance Applications.
• Obtains and scans Insurance cards, photo identification, authorizations, orders, Advanced Directives, and any other pertinent documentation.
• Completes the Medicare Screening Form for all Medicare patients.
• Utilizes time management skills to ensure completion of daily processes.
• Conveys required guidelines to reduce Bad Debt and Charity debt goals.
• Sets up payment plans with patients.
• Maintains registration error accuracy rate of 97% or higher.
• Maintains knowledge of Social Security, Medi-Cal, COBRA and Crime Victims Programs.
• Performs other duties, as assigned.

Requirements

• Required: Highschool, GED or higher level degree.
• Preferred: 2 years prior experience and proficient in Admitting Registration or Insurance Verification and Benefit information in a Healthcare setting and prior Customer Service Experience.

Benefits

• Generous benefits package
• Matched retirement plan