About The Position

This position facilitates access to UTMB services for new and returning patients and coordinates financial arrangements, including financial screening. It communicates with patients, referral sources, and the treatment team about patient access and financial issues. The specialist performs registration functions in COR, ED, and Admitting according to each area’s customized CBO tool. The role verifies patient demographic information, insurance coverage, benefits, and authorization requirements; screens patients for financial responsibility and possible cash collections; identifies potential reimbursement sources and financial assistance programs; and determines and collects appropriate deposits. The specialist also facilitates referrals and prior authorizations and determines eligibility for third-party programs. The position provides accurate, current information to patients, physicians, nurses, and other health care professionals to support patient satisfaction and maximum reimbursement. It requires department-specific knowledge and training on ABN and PPA agreement forms, adherence to quality assurance and productivity standards, timely correction or acknowledgment of errors, and completion of required announcements and communications. The specialist may assist in training and mentoring new employees, participates in team activities, and supports the goals of the team, department, and UTMB. The role is onsite in a standard hospital, clinical, laboratory, and/or office environment and uses standard office equipment.

Requirements

  • At least 1 year of experience with billing, financial screening, insurance verification, collections, and/or customer service.
  • Excellent customer service skills.
  • Ability to meet applicable job performance, registration quality assurance, and productivity standards.

Responsibilities

  • Perform and master COR, ED, and Admitting registration functions as defined in each area’s customized CBO tool.
  • Verify patient demographic information, insurance coverage, benefits, and authorization requirements for services.
  • Screen patients for financial responsibility and possible cash collections.
  • Determine potential reimbursement sources and direct patients toward financial assistance programs.
  • Determine and collect appropriate deposits.
  • Facilitate referrals and prior authorizations.
  • Determine eligibility for third-party programs.
  • Provide accurate, current information to patients, physicians, nurses, and other health care professionals to support patient satisfaction and maximum reimbursement.
  • Maintain department-specific knowledge and training related to ABN and PPA agreement forms.
  • Meet probationary and annual job performance standards, as well as applicable registration quality assurance and productivity standards.
  • Correct or acknowledge errors and return them within designated timeframes.
  • Read and apply announcements and relevant communications related to job duties.
  • Assist with training and mentoring new employees.
  • Prioritize and complete work accurately, effectively, and efficiently.
  • Participate in team meetings and activities and support the philosophy and goals of the team, department, and UTMB.
  • Adhere to internal controls and reporting structure.
  • Perform related duties as required.
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