Financial Access Specialist

University Health System; San Antonio (TX); On-site; USD 42,000 - 62,000; Full time

Job summary

University Health System is seeking a Financial Counseling/Insurance Verification Specialist to secure accurate patient data for financial clearance and to determine funding sources for hospital and clinic services.

The role includes conducting pre-authorization, calculating coinsurance, and communicating charges to patients. It requires experience in insurance benefits and basic medical terminology, to support timely reimbursement.

Qualifications

• High school diploma or GED required.
• Six months of financial counseling experience preferred in hospital/physician office.
• Knowledge of insurance benefits, pre-authorization and collection of monies preferred.

Responsibilities

• Secure and obtain accurate patient data for financial clearance.
• Communicate with patients to determine funding source information.
• Determine benefit level and coinsurance amounts for hospital and clinic services.
• Perform pre-authorization and financial counseling.
• Inform patients about service charges and assist with payment estimates.
• Collect copays and coinsurance when owed by the patient.
• Ensure proper financial clearance for timely reimbursement.

Skills

Insurance verification

Financial counseling

Pre-authorization

Coinsurance/ Copay collection

ICD-10 coding

Medical terminology

Education

High school diploma or GED

Job description

POSITION SUMMARY/RESPONSIBILITIES

Secures and obtains accurate patient data for complete financial clearance. Communicates with 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-authorization and financial counseling. Communicates with patients about service charges and assists with payment estimates. Collects copays, coinsurance and other monies that may be owed by the patient. Ensures proper financial clearance for timely and correct reimbursement for services rendered at UH

EDUCATION/EXPERIENCE

High school diploma, GED, or equivalent experience required. Six (6) months of financial counseling related experience in a hospital/physician office setting preferred. Experience and knowledge in obtaining insurance benefits, pre-authorization and collection of monies is preferred. Knowledge in hospital contracts, in-network vs. out-of-network benefits and negotiations is preferred. Basic medical terminology and ICD 10 coding experience is preferred