Financial Services Associate I

CommonSpirit Health Philanthropy; California (MO); On-site; USD 40,000 - 65,000; Full time

Job summary

Ein etabliertes gemeinnütziges Gesundheitszentrum sucht einen engagierten Financial Services Associate II, der als Bindeglied zwischen Patienten und Versicherungsdiensten fungiert. In dieser Rolle sind Sie verantwortlich für die Evaluierung von Versicherungsoptionen und das Management finanzieller Anforderungen, um eine positive Patientenerfahrung zu gewährleisten. Ihr Beitrag ist entscheidend für die Förderung von qualitativ hochwertigen und kosteneffektiven Ergebnissen. Wir bieten Ihnen die Möglichkeit, in einem dynamischen Team zu arbeiten, das sich der Patientenversorgung und Teamarbeit verschrieben hat. Wenn Sie eine Leidenschaft für den Gesundheitssektor haben und in einem unterstützenden Umfeld arbeiten möchten, ist dies die perfekte Gelegenheit für Sie.

Qualifications

• Mindestens 1 Jahr Erfahrung als FSA I oder gleichwertig.
• Kenntnisse über Versicherungsrichtlinien und Erstattungsverfahren.

Responsibilities

• Liaison für Patienten und Bereitstellung von Informationen zu Versicherungsrichtlinien.
• Verwaltung von Vorabgenehmigungen und Koordination von Zahlungsunterstützungsprogrammen.

Skills

Kundenservice

Versicherungsprüfung

Finanzberatung

Teamarbeit

Kommunikationsfähigkeiten

Education

Abschluss in Gesundheitswesen oder verwandtem Bereich

Tools

TES PIRs

Computerfähigkeiten

Job description

Responsibilities

In keeping with the PHC philosophy, the Financial Services Associate II serves as the liaison for patients and provides education regarding insurance coverage and guidelines. The role involves evaluating insurance options and clinical services to meet patient needs, tracking insurance requirements, ensuring accurate documentation of pre-authorizations, and completing the check-out process, including cash collections, deposits, and reconciliation. The associate promotes quality, cost-effective outcomes by managing financial and clinical care needs through effective communication. Additionally, they facilitate a positive patient experience by coordinating and advocating for financial clearance, pre-certifications, authorizations, and referrals, and identifying eligibility for payment assistance programs.

The Financial Services Associate II is responsible for pre-authorizations. PHC emphasizes excellent patient care and teamwork, and staff may be asked to perform duties outside their usual scope, especially in smaller locations or to address staffing needs, supporting our patient-centered approach.

Qualifications

Minimum of 1 year experience as an FSA I or equivalent in an outpatient/physician office, including financial counseling, insurance verification, and authorization. Completion of training on TES PIRs and denial management. Knowledge of payer and regulatory guidelines for insurance claims processing and reimbursement. Familiarity with eligibility procedures for various insurance entities, including government and private payers, and programs such as CPSP, CHDP, F-Pact, and EWC. Completion of GECB referral competency is required.

Strong customer service skills, effective communication, teamwork, and computer proficiency are essential. Ability to prioritize tasks, work closely with physicians, and approach problem-solving proactively and flexibly. Demonstrated leadership and ability to meet deadlines under pressure while maintaining attention to detail and a positive attitude are also required.

Overview

Dignity Health’s Pacific Central Coast Health Centers (PHC) is a non-profit community clinic organization with over 40 health centers from Ventura to Templeton, offering primary and specialty care. PHC is part of Dignity Health Central Coast’s award-winning network of hospitals, imaging centers, laboratories, and post-acute services.

One Community. One Mission. One California