Patient Financial Specialist, FT, Days

Prisma Health•Greenville, SC

2d•Onsite

About The Position

Responsible for assuring the up-front collection process is followed with copays and coinsurance being collected at the time of service or appropriate payment plans are set. Also responsible for working with patients on surgery deposits and/or payment plans. This includes working as a team with the front office and check out staff to collect at or above the percentage rate set forth by practice management.

Requirements

High school diploma or equivalent OR post-high school diploma/highest degree earned
Two (2) years of relevant healthcare experience, including but not limited to: Patient Services Rep, Physician Practice Front Office, Billing, Insurance, etc.
Communication skills

Nice To Haves

Multi-specialty group practice setting experience preferred

Responsibilities

Completes pre-visit preparation including review of self-pay.
Runs schedules for all physicians 2 days out; reviews accounts for outstanding self-pay.
Provides information for check in staff, check out staff, or athletic trainers via hard copy or with notes in ECW.
Obtains pre-certifications or authorizations if needed, verifies insurance coverage, makes phone calls to patients if indicated, adds financial comments to accounts.
Verifies patient's insurance, calculates the patient's liability using the method determined by the manager, including outstanding balances for all services, prints estimates, and collects the amount due.
Discusses with patient face to face or sends deposit letter with return envelope.
Sets up payment plans.
Answers patient calls.
Works with UMG PBO on payment plan issues.
Completes customer service log.
Reviews invoices for charity or SUN discounts.
Assists in front office functions as needed to check balances, print self-pay letters.
Assists in all other front office functions as needed.
Performs other duties as assigned.