Health Specialist Jobs

About The Position

Requirements

• At least 1 year of customer service experience.
• Must be inquisitive and open to innovation, including AI, to explore better processes and reduce friction for patients and clients.
• High school diploma or GED required.
• CRCR (Certified Revenue Cycle Representative) required within 6 months of hire; company paid.

Responsibilities

• Assess patient insurance and financial information to determine liability, and collect patient liabilities such as copays, deductibles, coinsurance, and balances after financial assistance.
• Meet face-to-face with inpatients during their stay to collect estimated patient liabilities.
• Work assigned patient access, insurance eligibility, and follow-up reports.
• Help facilitate daily in-house call reviews with relevant parties to validate that patients have a valid payor source and account authorization for the current stay.
• Complete pre-registration and registration tasks, including registering patients at or before the time of service and attempting to collect their financial liability.
• Monitor missed collection opportunities for process improvement and follow-up; make at least three daily attempts to visit a patient's room when the patient is preoccupied during earlier attempts.
• Document patient liability on accounts daily.
• Call patients who are unable to pay while in-house to follow up.
• Send post-discharge letters outlining estimated liability and payment options.
• Help patients sign consent-to-treat, observation, Important Message from Medicare, and other applicable registration-related forms.
• Assist eligibility specialists with insurance verification, Medicaid and charity processing, and other tasks as needed.
• Run a daily census to identify patients with potential eligibility.
• Collect and organize outpatient orders for future and current dates of service using queues in various revenue cycle systems.

Benefits

• Bonus incentives
• Paid certifications
• Tuition reimbursement
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
• Career advancement
• Quarterly and annual incentive programs