GENERAL SUMMARY:
Provides financial guidance to patients regarding insurance coverage, cost estimates, payment options, and financial assistance programs. Ensures patients are financially cleared prior to services and supports the revenue cycle through accurate documentation and timely collections. Mentors and works closely with the Patient Financial Associates to ensure financial assistance applications are completed and include all the necessary documents. Works with patients on any deficiencies.
PRINCIPAL JOB FUNCTIONS:
- Ensures timely collection of payment on assigned accounts in accordance with policies and procedures.
- Researches, verifies and updates, as necessary, the accuracy of patient demographic and insurance information, prior correspondence, contacts and payments.
- Verifies insurance eligibility, benefits, and pre-authorizations.
- Explains patient financial responsibility, including deductibles, copays, and out-of-pocket costs.
- Provides cost estimates and establishes payment arrangements.
- Assists patients with financial assistance applications and charity programs.
(Essential Job functions are marked with an asterisk “*”).
REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES:
Knowledge of federal regulations including COBRA, Medicare, Medicaid, and Bryan Medical Center’s Corporate Compliance Plan.
EDUCATION AND EXPERIENCE:
High school diploma or equivalency required. Associate’s degree in business or accounting-related field preferred.
Minimum of two (2) years’ experience in healthcare billing, insurance verification, patient financial services, patient access, or social work (counseling) required. Knowledge of medical terminology/CPT and coding skills preferred. Must be 19 years of age to witness legal consents.
OTHER CREDENTIALS / CERTIFICATIONS:
Certification from a Healthcare accredited association such as HFMA, AHIMA, AAHAM, or AAPC preferred.
PHYSICAL REQUIREMENTS:
(Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.)
(DOT) – Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.
