Financial Access Specialist (Financial Clearance)

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

Job summary

University Health in San Antonio, TX is seeking a Financial Counselor to secure accurate patient data for financial clearance and to determine funding sources and benefit levels for hospital and clinic services.

The role includes pre-authorization, financial counseling, communicating service charges, and collecting copays to ensure timely reimbursement for services rendered.

Qualifications

• High school diploma or GED is required.
• 6 months of financial counseling experience preferred.
• Experience with insurance benefits, pre-authorization and collections preferred.
• Basic medical terminology experience is preferred.

Responsibilities

• Secure and obtain accurate patient data for complete financial clearance.
• Determine funding source information and benefit level, and coordinate benefits.
• Perform pre-authorization and financial counseling for services.
• Collect copays, coinsurance and other amounts owed; ensure timely reimbursement.

Skills

Insurance verification

Financial counseling

Patient communication

Education

High school diploma or GED

Tools

ICD-10 coding

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 ispreferred. Knowledge in hospital contracts, in-network vs. out-of-network benefits and negotiations is preferred. Basic medical terminology and ICD 10 coding experience are preferred.