Financial Access Specialist (Carelink Member Services)

University Health; San Antonio (TX); On-site; USD 32,000 - 42,000; Full time

Job summary

University Health in San Antonio seeks a Patient Financial Services Associate to secure accurate data for insurance verification and financial clearance for admissions. You will interview patients to determine funding source information and coordinate benefits and pre-certifications for hospital and clinic services.

You will provide financial counseling, collect copays and coinsurance, and communicate with pay patients about service charges and arrange payments to ensure timely reimbursement for

Qualifications

• 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 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

• Secure and obtain accurate patient data for financial clearance for admission.
• Interview patients to determine funding source information.
• Determine benefit level and coinsurance for hospital and clinic services.
• Perform pre-certification and referral coordination.
• Provide financial counseling and collect copays, coinsurance, and other monies owed by patient.
• Communicate with pay patients about service charges and assist payment arrangements.
• Ensure proper financial clearance for timely reimbursement for services rendered at UH.

Skills

Insurance verification

Financial counseling

Interviewing patients

Pre-certification coordination

Patient financial 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.