Patient Estimate Specialist

Truman Medical Centers; Kansas City (MO); On-site; USD 48,000 - 72,000; Full time

Job summary

Truman Medical Centers in Kansas City, MO seeks a Patient Estimate Specialist to prepare accurate estimates for scheduled services and to serve as the GFE subject matter expert for uninsured or self-pay patients, as well as insured estimates based on benefits and pricing.

The role collaborates with Scheduling, Patient Access, Financial Counseling, coding, billing, and other Revenue Cycle teams to ensure patients understand anticipated financial responsibility before services are rendered, and to

Qualifications

• Associate degree or equivalent in healthcare, business, or Revenue Cycle.
• 3 years in healthcare Revenue Cycle, medical billing, coding, patient estimates, or related function.
• Working knowledge of medical terminology, CPT/HCPCS, hospital/professional charges, insurance benefits, and patient financial responsibility.
• Strong ability to review procedures and codes to support accurate patient estimates.
• Excellent verbal and written communication for explaining financial information to patients.
• Customer service mindset and professional demeanor for communicating about financial responsibility.
• Strong organizational skills to manage multiple estimates, deadlines, and queues.
• Attention to detail to identify discrepancies in coding, charges, or patient responsibility.
• Proficiency in Microsoft Office, EMR systems, estimating tools, and Revenue Cycle systems.
• Ability to work independently and with cross-functional Revenue Cycle teams.

Responsibilities

• Prepare accurate patient estimates for scheduled services across University Health.
• Act as subject matter resource for the Good Faith Estimate (GFE) for uninsured or self-pay patients and for insured estimates.
• Collaborate with Scheduling, Patient Access, Financial Counseling, coding, billing, and other Revenue Cycle teams to ensure clear information on anticipated financial responsibility.
• proactively communicate estimated balances and payment expectations to patients.
• Assist patients in identifying available financial assistance or payment options.
• Review clinical services and codes to ensure estimates reflect services expected to be provided.

Skills

Medical terminology

CPT/HCPCS coding

Revenue Cycle

Communication skills

Organizational skills

Microsoft Office

Education

Associate degree in healthcare, business, or Revenue Cycle

Related education/experience

Tools

EMR systems

Estimating applications

Cerner/Oracle Health

Job description

Patient Estimate Specialist### Patient Estimate SpecialistApply: Northpoint: Full time: Posted Today: R0019255**If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site.****Please log into myWORKDAY to search for positions and apply.**Patient Estimate Specialist101 Truman Medical Center# **Job Location**NorthpointKansas City, Missouri# **Department**Central Access Services UHTMC# **Position Type**Full time# **Work Schedule**8:00AM - 4:30PM# **Hours Per Week**40# **Job Description**The Patient Estimate Specialist is responsible for the accurate and timely preparation of patient estimates for scheduled services across University Health. This position serves as a subject matter resource for the Good Faith Estimate (GFE) process for uninsured and self-pay patients, as well as estimates for insured patients based on available insurance benefits, contracted rates, patient responsibility, and University Health pricing. The Patient Estimate Specialist works closely with scheduling, Patient Access, Financial Counseling, clinical departments, coding, billing, and other Revenue Cycle teams to ensure patients receive clear and accurate information regarding their anticipated financial responsibility prior to receiving services. This position also proactively communicates with patients regarding estimated balances and payment expectations and assists patients in identifying available financial assistance or payment options. The position requires a strong understanding of medical coding, insurance benefits, reimbursement methodologies, hospital and physician charges, and Revenue Cycle processes. The Patient Estimate Specialist must be able to review clinical services and associated codes to ensure estimates accurately reflect the services expected to be provided. **Minimum Requirements** 1. Associate degree in a related healthcare, business, or Revenue Cycle field, or equivalent combination of education and experience.2. Three years of experience in healthcare Revenue Cycle, medical billing, coding, patient estimates, financial clearance, or a related healthcare financial services function.3. Working knowledge of medical terminology, CPT/HCPCS coding, hospital and/or professional charges, insurance benefits, and patient financial responsibility.4. Strong understanding of medical coding and the ability to review procedure and service information to support accurate patient estimates.5. Excellent verbal and written communication skills with the ability to explain complex financial and healthcare information in simple, patient-friendly language6. Professional demeanor and excellent customer service skills, particularly when communicating with patients regarding financial responsibility and payment expectations7. Excellent organizational skills with the ability to manage multiple estimates, deadlines, patient contacts, and work queues8. Strong attention to detail and demonstrated ability to identify discrepancies in coding, charges, insurance benefits, and patient responsibility9. Computer proficiency in Microsoft Office Suite, electronic medical record systems, estimating applications, and other Revenue Cycle systems.10. Ability to work independently while also collaborating effectively with Patient Access, Financial Counseling, Coding, Billing, clinical departments, and other Revenue Cycle teams. **Preferred Qualifications** 1. Certified Professional Coder – Apprentice (CPC-A) or Certified Professional Coder (CPC) certification2. Experience preparing Good Faith Estimates under the No Surprises Act3. Experience preparing hospital and/or physician estimates for insured and self-pay patients4. Experience with medical coding, charge capture, reimbursement, or claims processing5. Experience with insurance benefit verification and calculation of patient financial responsibility6. Cerner/Oracle Health or other electronic medical record experience7. Experience with patient estimating, financial clearance, or Revenue Cycle estimating applications8. Experience working in a hospital or academic medical center environment