Medical Coding Price Transparency Specialist

Henry Ford Health; Troy (MI); On-site; USD 55,000 - 75,000; Full time

Job summary

Henry Ford Health in Detroit, MI is seeking a detail-oriented Patient Price Estimator to follow standard operating procedures for public and internal inquiries. You will perform price shopping, international and self-pay estimates, and insured price calculations within contract terms to support HFH's pricing strategy.

Ideal candidates have an associate degree, medical coding/coding certifications, and experience with medical billing in a healthcare setting.

Qualifications

• Associate degree in healthcare, business, or equivalent preferred.
• Two years medical coding experience preferred.
• Experience with medical billing and reimbursement preferred.
• Experience in a healthcare setting in a customer-facing environment preferred.

Responsibilities

• Follow SOPs for patient price estimating from public inquiries and internal resources.
• Perform price shopping against competing health systems and international estimates.
• Provide accurate price estimates for self-pay and insured patients within contract terms.
• Contribute to service-excellence culture across patient groups.

Skills

Excel proficiency

Math skills

Attention to detail

HFH EHR familiarity

Data entry

Education

Associate degree preferred in healthcare, business, or equivalent

Two years medical coding experience preferred

Tools

Excel

HFH EHR

Job description

Job Description

GENERAL SUMMARY: Under general supervision follow standard operating procedures for all patient price estimating activities from general public inquiries and internal resources within Henry Ford Health (HFH). Types of estimating will include price shopping in comparison to competing health systems, North American patients, international patient price estimates, retail price estimates, cutting edge price estimates, US self-pay patients, and insured patients for the covered amount contractually allowed. Actively contributes to an organizational culture committed to the highest degree of service excellence standards to all customer groups.

Qualifications:
Qualifications

EDUCATION/EXPERIENCE REQUIRED:

• Associate degree preferred in healthcare, business, or equivalent
• Two (2) years of medical coding experience preferred
• Experience with medical billing and reimbursement preferred
• Experience in a healthcare setting in a customer-facing environment preferred
• Familiarity with clinic environment preferred

CERTIFICATIONS/LICENSURES REQUIRED:

• Current coding certification from AHIMA or AAPC required
• CCS credential or CPC credential required

TECHNICAL SKILLS:

• Proficiency in Excel and strong mathematical skills
• Demonstrated ability to work with detailed information
• Extensive computer information system utilization
• Demonstrates excellence in utilization of HFH EHR
• Ability to perform calculations and complete forms accurately

SOFT SKILLS & COMPETENCIES:

• Excellent communication skills (written and verbal)
• Excellent work quality and quantity
• Strong interpersonal skills to interact effectively with patients, prospective patients, clinic, and hospital personnel
• Ability to discuss patients' general financial responsibilities and connect them with the Corporate Business Office customer service center
• Ability to perform a variety of tasks in a timely manner to meet customer needs
• Ability to work successfully in a fast-paced environment with frequent interruptions
• Ability to work within a team setting and be supportive of team members
• Demonstrated ability to adjust to changes in policy and procedures
• Successful completion of yearly competencies