Financial Access Specialist (Carelink Member Services)

University Health; San Antonio (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

University Health seeks a dedicated Financial Counselor to ensure accurate patient data and complete financial clearance for admissions across locations. You will interview patients to determine funding sources, verify insurance benefits, and calculate coinsurance and copays for hospital and clinic services.

The role includes pre-certification, referral coordination, and providing financial counseling. You will communicate charges to pay patients, assist with payment arrangements, and help

Qualifications

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

Responsibilities

• Obtain accurate patient data for financial clearance of admissions.
• Interview patients to determine funding source information.
• Determine benefit level and coordination of benefits for services.
• Perform pre-certification, referral coordination, and financial counseling.
• Communicate with pay patients about charges and assist with payment arrangements.
• Collect copays, coinsurance and other monies owed by patients.
• Ensure financial clearance for timely reimbursement for services rendered at UH.

Skills

Insurance verification

Financial counseling

Pre-certification

Billing collection

Patient communication

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.