Patient Financial Specialist - Diley Ridge - Part Time Nights

Trinity Health•Canal Winchester, OH

16d•Onsite

About The Position

The Patient Financial Specialist serves as a patient representative and collects accurate, complete registration and admission information; collects patient financial responsibilities; facilitates resolution of billing questions; and provides information to physicians, physician offices, and Medical Center staff. The role supports the delivery of care and services to patients across the Medical Center campus and may include additional duties, responsibilities, or special projects not specified in the job description. The position provides customer service and registration support, verifies patient identity and insurance information, explains and collects financial obligations, communicates with patients and staff, documents information in electronic systems, and follows applicable third-party, privacy, debt collection, safety, and organizational requirements. The specialist is expected to work collaboratively, use sound judgment, and contribute to a positive, safe, and service-oriented environment.

Requirements

High school diploma or GED.
Ability to perform data entry.
Understanding of Medicare, Medicaid, and other third-party information requirements and regulations.
Working knowledge of third-party payer benefits, requirements, and regulations affecting registration procedures.
Working knowledge of CPT and ICD-10 coding and payer reimbursement methodologies.
Excellent verbal and written communication skills.
Ability to defuse and handle difficult situations.
Good judgment when dealing with patients, physicians, and clinical staff.
Ability to communicate assertively and effectively, negotiate financial obligations, and resolve patient inquiries.
Resilience, a positive attitude, and ability to work effectively in a fast-paced, rapidly changing environment.
Working knowledge of medical terminology and diagnostic testing and procedures.
Ability to work with minimal supervision.
Good communication, interpersonal, and team-orientation skills when dealing with coworkers, patients, families, physicians, and the general public.

Nice To Haves

At least three years of experience in a physician’s office, clinic, hospital business office, or related area involving public interaction and collection of data and funds is preferred.

Responsibilities

Model Service Excellence standards, provide courteous and professional service, and act as a liaison with customers.
Answer telephone calls promptly; greet and assist customers entering the facility; round on patients and families, provide updates, and initiate service recovery when needed.
Collect and validate patient information, enter it into the registration system, and complete required forms.
Verify and scan photo identification and scan patient identity documents, insurance cards, consent forms, co-pay receipts, and other required materials.
Assemble and distribute patient charts to appropriate areas as needed.
Collect patient deductibles, co-pays, co-insurance, deposits, and other payments; review past-due balances, discuss payment options, establish payment arrangements, and explain financial assistance options.
Facilitate resolution of billing questions and update billing and insurance contact information during registration.
Communicate professionally with hospital departments, patients, families, physician offices, clinical staff, and other staff members; keep patients and families informed.
Present and explain hospital pre-payment policies and procedures, and assist clinical staff with incoming and outgoing calls using scripted messages.
Apply CPT and ICD-10 coding knowledge and third-party requirements to support compliant registration and reimbursement practices.
Follow legislation and policies regarding the use and disclosure of medical and financial information, debt collection, and credit reporting.
Provide accurate and complete documentation, including free-form and standard notes in the electronic record system.
Practice positive patient identification, follow organizational procedures and guidelines, initiate appropriate emergency procedures, and maintain a safe environment for patients and staff.
Use relevant computer systems, software, internet, and intranet resources to verify and manage patient information.
Identify and facilitate improvements in patient care, staff and physician relationships, and the working climate; use appropriate problem-solving techniques.
Complete required education, attend in-services and departmental meetings, assist with new staff orientation, and participate in student instruction when requested.
Use supplies and resources cost-effectively and help maintain departmental regulatory readiness.
Raise questions and promptly report actual or potential wrongdoing; participate in organizational processes for identifying hazards and safety management issues.
Participate in performance improvement activities, foster a customer-service and community focus, support the Medical Center’s mission, and accept other duties as assigned.