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Form of work Job Requisition: REQ2551 Employment Type: Full-Time Shift: Days Hours Per Week: 40 hours
Hiring range: $ 19.45 - $26.01 The actual compensation for this position will be determined based on experience and other factors permitted by law.
Responsibilities:
•Gathers necessary demographic, insurance and clinical information from patient and enters into appropriate database.
•Seeks appropriate resources to resolve issues about the type, date or location of prescribed procedures.
• Explains financial responsibilities for services received, payment options and collection procedures to patients and/or parties responsible for payment.
• Counsels' patients regarding insurance benefits and recommends alternative sources of payment and/or financial assistance when appropriate.
• Helps patients obtain insurance through the marketplace as a Certified Application Counselor (CAC).
• Initiates process for collecting prepays due and performs follow-up to ensure maximum collection is achieved.
• Works with Finance supplying accurate information for reporting purposes.
• Works with billing coders, clinicians, and providers to ensure accurate billing.
• Reviews and processes accounts for collection; reports to Bad Debt Agency.
• Calculates accurate patient responsibility of approved assistance program.
• Assists with coordination of activities related to insurance pre-certification/authorization.
Education: High school diploma or GED required. 1-3 years of experience directly related to payor reimbursement field preferred.
Knowledge of third party payors and Federal Poverty Guidelines preferred.
Certifications / Licensure: Facilitated Enrollment Specialist prefer
Required skills/attributes:
Ability to organize and establish day-to-day priorities while using critical thinking skills in all aspects of the job. • Must be able to multitask while remaining professional, focused, composed and positive. • Excellent customer service skills • Displays integrity, friendliness, and compassion. • Must be able to establish an appropriate and effective rapport with others. • Demonstrates flexibility • Takes initiative • Able to work in a fast-paced environment • Embraces new opportunities to grow both personally and professionally. • Effective critical thinking and problem-solving skills. • Proficient with various Microsoft Office products (Word and Excel). • Strong organizational skills. • Effective interpersonal skills. • Ability to take and follow direction in a positive and appropriate manner. • Ability to work as part of a team and independently. Must be able to demonstrate effective and appropriate written and oral communication skills. • Must be able to read and follow instructions
