Patient Financial Clearance Navigator

UMass Memorial Health; Oregon; Hybride; USD 29 000 - 40 000; Plein temps

Résumé du poste

UMass Memorial Health is seeking a Financial Clearance Specialist to verify patient demographics, insurance and financial information for scheduled services. This role involves collecting co-pays, deductibles and deposits, providing cost estimates, and resolving insurance issues before services are rendered.

The position requires 4+ years in a business office setting, healthcare billing experience, and strong PC skills.

Qualifications

• Minimum High School Diploma, or G.E.D., business concentration preferred.
• Associate degree, or higher, preferred.
• Four plus (4+) years of experience within a business office setting, hospital revenue cycle preferred, Physician office or collection agency.
• Prior experience in a healthcare environment required.
• Working knowledge of personal computers and business office applications preferred.
• Familiarity with hospital computer systems is a plus.
• Knowledge of third party collections and reimbursement preferred.

Responsabilités

• Initiates contact with insurance companies to obtain eligibility, gather accurate patient billing information, and performs collections with outstanding accounts receivable.
• Accurately estimates the patient financial liability (copayments, deductibles, coinsurances, deposits, etc. via obtaining accurate demographic and financial information). Answers patient inquiries regarding their liability and able to explain the variables involved.
• Receives and processes patient payments.
• Ensures pre-certification authorization and or referral is in placement prior to service being rendered.
• Appropriately referring patients to Financial Counselors or Business Office dependent on need of patient.
• Reschedules appointments when requested by patient or, under advisement of department leader, when due to financial circumstances appointment requires postponement.
• Enter clear, concise notes concerning financial clearance status in system based on communications.
• Demonstrate knowledge and understanding of all job-related policies and procedures and adheres to and consistently applies the Financial Clearance Policy in all patient cases.
• Assesses gaps in patient coverage to determine patient financial exposure prior to rendering service.
• Consistently demonstrates ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
• Performs other duties as assigned, or directed, to ensure smooth operation of the department/unit.

Connaissances

Customer service

Healthcare billing

Formation

High School Diploma or GED

Associate degree preferred

Outils

Hospital computer systems

Office software

Description du poste

UMass Memorial Health is seeking a Financial Clearance Specialist to verify patient demographics, insurance and financial information for scheduled services. This role involves collecting co-pays, deductibles and deposits, providing cost estimates, and resolving insurance issues before services are rendered.

The position requires 4+ years in a business office setting, healthcare billing experience, and strong PC skills.