Patient Estimate Specialist

Truman Medical Centers; United States; On-site; USD 45,000 - 75,000; Full time

Job summary

Truman Medical Centers is seeking a Patient Estimate Specialist to prepare accurate estimates for scheduled services and support the Good Faith Estimate process for uninsured, self-pay, and insured patients. You will work closely with scheduling, Patient Access, and Financial Counseling to ensure clear information on anticipated financial responsibility.

The role requires knowledge of medical coding, insurance benefits, and hospital charges, along with strong communication and organizational

Qualifications

• Associate degree in healthcare, business, or Revenue Cycle.
• Three years of experience in healthcare Revenue Cycle, medical billing, coding, or related financial services.
• Working knowledge of medical terminology, CPT/HCPCS coding, and patient financial responsibility.
• Ability to review procedures and services to support accurate patient estimates.
• Excellent communication and customer service skills with clear explanations.

Responsibilities

• Prepare accurate patient estimates for scheduled services across University Health.
• Serve as subject matter resource for the Good Faith Estimate (GFE) process for uninsured or self-pay patients.
• Coordinate with scheduling, Patient Access, Financial Counseling, coding, billing, and Revenue Cycle teams.
• Explain estimated balances and payment expectations to patients.
• Assist patients in identifying financial assistance or payment options.

Skills

Healthcare Revenue Cycle

Medical terminology

Communication skills

Organizational skills

Review CPT/HCPCS codes

Education

Associate degree in related field

Tools

Microsoft Office Suite

EMR systems

Estimating applications

Job description

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 Specialist 101 Truman Medical Center Job Location Northpoint Kansas 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 language
6. Professional demeanor and excellent customer service skills, particularly when communicating with patients regarding financial responsibility and payment expectations
7. Excellent organizational skills with the ability to manage multiple estimates, deadlines, patient contacts, and work queues
8. Strong attention to detail and demonstrated ability to identify discrepancies in coding, charges, insurance benefits, and patient responsibility
9. 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) certification
2. Experience preparing Good Faith Estimates under the No Surprises Act
3. Experience preparing hospital and/or physician estimates for insured and self-pay patients
4. Experience with medical coding, charge capture, reimbursement, or claims processing
5. Experience with insurance benefit verification and calculation of patient financial responsibility
6. Cerner/Oracle Health or other electronic medical record experience
7. Experience with patient estimating, financial clearance, or Revenue Cycle estimating applications
8. Experience working in a hospital or academic medical center environment

Diversity & Inclusion Statement

Working at University Health is about making a difference. It's providing the best care to every patient every day. University Health (UH), is committed to being a leader in providing a culturally inclusive workplace for our employees. UH is an equal opportunity employer. We value and celebrate our differences. We are committed to equal employment opportunity regardless, but not limited to race, ethnicity, religion, beliefs, sex (including pregnancy, gender identity and expression, sexual orientation), national origin, ancestry, language, age, citizenship, genetic information, marital status, socioeconomic status, literacy, disability, mobility, abilities, veteran status and any other category protected by applicable law.