Reports to Revenue Cycle Leadership. Under minimal supervision with an ability to work independently, this position is responsible for assisting uninsured, under-insured and insured patients/guarantors with their financial obligations for prior and current care. The successful candidate will be actively involved in discussion with patients and families to ensure accurate and comprehensive financial information is obtained; connect with patients in regards to a successful resolution of financial obligations (including prior balances); coordinate with insurance carriers to determine healthcare coverage and options; advise patients of available financial assistance programs and assist families in the completion of applications; collaborate with physicians and other healthcare providers to determine long-term care needs. Coordinates activities with clinics and hospital departments.
REQUIRED:
- High school diploma or G.E.D. equivalent
- Minimum 2 years in patient admitting, registration, and/or insurance eligibility and verification in a hospital or medical office setting
- Strong mathematical and computational abilities for account balance estimations, payment applications, and contractual obligation calculations
- Clear and effective verbal communication
- Proficiency in reading, writing, and spelling
- Ability to visually proofread typed work for accuracy
- Telephone communication skills with diverse groups (patients, families, insurance companies, departments)
- Customer service expertise with ability to handle sensitive information professionally, confidentially, and empathetically
- Ability to quickly assess and respond appropriately to emergency situations
- Comprehension of medical terminology
- Analytical and problem-solving skills to resolve complex issues using mathematical, scientific, or technical principles
- Strong multitasking capabilities
- Ability to work independently and manage individual workload to meet productivity standards
- Understanding and commitment to maintaining patient privacy and confidentiality
- Ability to establish positive rapport with patients, families, and financial assistance programs
PREFERRED:
- Associate degree with coursework in mathematics, accounting, and computer science
- Additional coursework in accounting, computers, financial counseling, and medical terminology
- Familiarity with managed care and referral/pre-certification procedures
- Knowledge of Federal, State, and County program rules and regulations
- Understanding of payer requirements and contracts
- Ability to analyze and interpret HFHS support applications, IRS materials, credit reports, and payer regulations
- Experience formulating appropriate and prompt action sequences to resolve patient questions and concerns
- Global knowledge of insurance/managed care requirements, hospital policies, and procedures
- Detail-oriented with quality-focused approach and strong problem-solving judgment
- Ability to interpret data and take appropriate action in varying circumstances
- Capacity to serve as a resource to others
- Bilingual capabilities as appropriate to work site
- Availability for varied schedule, potentially including weekend and evening coverage
