Financial Access Specialist

University-Health-3; San Antonio (TX); On-site; USD 38,000 - 52,000; Full time

Job summary

University Health is seeking a Financial Counselor to verify patient insurance benefits and coordinate financial clearance for admissions and services. You will interview patients to determine funding sources, explain coverage details, and assist with payment arrangements.

Responsibilities include pre-certification, coordination of benefits, and collecting copays and coinsurance while ensuring timely reimbursement for services rendered.

Qualifications

• Six months of financial counseling experience in a hospital/physician office setting.
• Experience and knowledge in obtaining insurance benefits, pre-certification and collection of monies.
• Knowledge of hospital contracts, in-network vs. out-of-network benefits and negotiations (preferred).
• Spanish language skills preferred.

Responsibilities

• Verify patient insurance benefits and eligibility to secure financial clearance.
• Conduct pre-certification and referral coordination for services.
• Provide financial counseling and communicate service charges to pay patients.

Skills

Insurance verification

Financial counseling

Patient interviews

Billing collections

Education

High school diploma or equivalent

Tools

ICD-9 coding

Job description

Secures and obtains accurate patient data for complete financial clearance of admission of various admission types and locations. Interviews patients to determine accurate funding source information. Determines benefit level, coordination of benefits, coinsurance amounts for hospital and clinic services using knowledge of insurance verification. Performs pre-certification, referral coordination, and financial counseling. Communicates with pay patients about service charges and assists patient with payment arrangements. Collects copays, coinsurance and other monies owed by patient. Ensures proper financial clearance for timely and correct reimbursement for services rendered at University Health.

EDUCATION/EXPERIENCE

High school diploma, GED, or equivalent experience required. Must have six (6) months of financial counseling related experience in a hospital/physician office setting. Experience and knowledge in obtaining insurance benefits, pre-certification and collection of monies is required. Knowledge in hospital contracts, in-network vs. out-of-network benefits and negotiations is preferred. Basic medical terminology and ICD 9 coding experience is preferred. Spanish is preferred.