Financial Access Specialist (Carelink Member Services)

University-Health-3; San Antonio (TX); On-site; USD 25,000 - 39,000; Full time

Job summary

University-Health-3 is seeking a Financial Counselor to obtain accurate patient data and determine funding sources for admission across multiple locations. You will verify benefits, coordinate pre-certifications, and assist patients with payment arrangements to ensure timely reimbursement for services.

The role requires at least six months of hospital-based financial counseling experience, with knowledge of insurance benefits and ICD-9 terminology preferred.

Qualifications

• Six (6) months of financial counseling related experience in a hospital/physician office setting.
• Experience in and knowledge of obtaining insurance benefits, pre-certification and collection of monies is required.
• Knowledge of hospital contracts, in-network vs. out-of-network benefits and negotiations is preferred.
• Basic medical terminology and ICD 9 coding experience is preferred.

Responsibilities

• 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 that may be owed by patient.
• Ensures proper financial clearance for timely and correct reimbursement for services rendered at UH.

Skills

Financial counseling

Patient data collection

Education

High school diploma or GED

Job description

POSITION SUMMARY/RESPONSIBILITIES

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 that may be owed by 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. Must have six (6) months of financial counseling related experience in a hospital/physician office setting. Experience in and knowledge of obtaining insurance benefits, pre-certification and collection of monies is required. Knowledge of hospital contracts, in-network vs. out-of-network benefits and negotiations is preferred. Basic medical terminology and ICD 9 coding experience is preferred.